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*PLEASE READ BEFORE YOUR KITE PURCHASE.* terms and conditions
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Pre-Clinic Questionaire
Thank you for choosing HARDWATER KITING.
To better assist you in meeting your snow kiting goals we ask that you fill out the following questions.
If you have any questions regarding this form please let us know.
Be advised the information supplied here will be kept confidential.
Name/Address.
*
Indicates required field
Name
*
First
Last
Date of Birth
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone
*
Passport or License Number
*
Emergency Contact
*
Emergency Contact Phone
*
Height
*
Weight
*
Age
*
Gender
*
Female
Male
Current Fitness Level. How often do you exercise?
*
Never
Occasionally
1-2 Times a week
3-4 Time a week
5 or more times a week
Ski/Board/Kite Experience.
Skier or Snowboarder?
*
Skier
Snowboarder
Skier/Boarder Level (Choose one)
*
Intermediate (Can ride most Blue and some Black Runs)
Advanced (Prefer Black runs, have solid edging ability at any speed)
Expert (Can ride anything including Double Black Diamond Runs)
What is your level of Kite Sport experience?
*
None
Stunt or Trainer Kites only.
IKO/PASA Certified
1-2 Years
3-4 Years
5 years+
What other sports do you participate in?
*
Medical/Surgical history.
Do you have surgical or orthopedic incident history?
*
Yes
No
Do you have a permanent condition. (e.g. asthma, etc.)
*
Yes
No
If "Yes", please describe.
*
If "Yes", please describe.
*
Are you currently taking any medications (prescription or over the counter)?
*
Yes
No
Is there anything else in your medical history that your instructor should be aware of?
*
Yes
No
If "Yes", please list them.
*
If "Yes", please describe.
*
In your own words. What is your goal in taking this clinic?
*
Submit