Zoo Town Surfers Youth Kayaking Club 2017

Registration Packet

If you live in Missoula and have a son or daughter with an interest in learning to kayak, the Zoo Town Surfers youth kayaking club is without exception the most affordable and experienced option in the region. Zoo Town Surfers has been providing quality youth whitewater programs since 2004. Created specifically for local teenagers, the club creates the opportunity for adventure, and self-discovery from the seat of a kayak in a fun and supportive club atmosphere. Students are placed in groups according to their skill level with an emphasis on fundamental concepts, from technique to river awareness. Providing parents the convenience of transportation from Missoula to the river, and back, Zoo Town Surfers takes students to the river every week — all summer long! The program has successfully taught hundreds of teens the sport of kayaking, facilitating their progression into competent whitewater enthusiasts under the tutelage of skilled instructors, mentors, and positive peer interaction.

Participants in the Zoo Town Surfers kayaking program pay annual dues and are organized into three skill level groups: beginner, intermediate, and advanced. From June to August these groups meet weekly for transportation to the river for supervised and coached kayaking sessions.

All river sessions are level appropriate, allowing participants to have fun and to continually progress throughout the summer.

Schedule Session 1: June 10 – July 12 Spring run-off/bigger water Beginners meet at 9:30 am – 2:30 pm Saturday and Sunday from June 10 - June 11. Beginners meet at 9:30 am – 2:30 pm Monday and Wednesday from June 12 – July 12 Intermediates/Advanced meet at 3:00 pm – 8:00 pm Saturday and Sunday from June 10 – June 11. Intermediates/Advanced meet at 3:00 pm – 8:00 pm Monday and Wednesday June 12 – July 12. Session 2: July 17 – August 23 Beginners meet at 9:30 am – 2:30 pm Monday and Wednesday All Summer Intermediates/Advanced meet at 3:00 pm – 8:00 pm Monday and Wednesday All Summer Cost: Session 1: $650 Session 2: $650 Both Sessions: $1200 Early Bird Special: $50 off if you sign up 1 month in advanc

Annual dues include transportation and supervision by certified coaches, with additional kayaking professionals participating periodically as guest instructors. Equipment is available for summer rental on a first-come, first-serve basis and any of our instructors are willing to advise students regarding the most appropriate and affordable options. For beginners who are looking to learn the sport (or anyone trying to remember all of his or her gear), the following items are what we call the Six Essentials and may be rented or purchased as a package deal from any of the local kayak shops. Additional gear is required for colder conditions and for more advanced students as they progress in their river-running skills and safety awareness, but these Six Essentials will get you started:

Equipment – The Six Essentials Zoo Town Surfers does not provide equipment, but Jason can recommend what gear a student will need and where the equipment may be purchased most readily and economically. If you ask any of the Missoula kayaking shops for the “Zoo Town Surfer Package” or the “Zoo Town Surfer Six Essentials” their whitewater kayaking salesperson will be able to assist you. For beginners who are looking to take-up the sport (or intermediates trying to remember all of their gear), the following items are what we call the Six Essentials. The Six Essentials will get you started, but for colder conditions and as students progress additional gear may be required.

Paddling Gear - Six Essentials

1) PFD - Type III Coast Guard Approved

2) Helmet - providing good protection across the forehead, and fitting securely on the head

3) Spray skirt

4) Paddle - with a forty-five degree offset, or less

5) Kayak

6) Booties - providing the ability to walk on sharp rocks, while also fitting into your kayak

Other Recommended Gear

These items become necessary as a kayaker progresses to more challenging whitewater and weather

conditions.

A Paddling Top – for summer conditions a shortie is adequate, but for spring and fall a dry-top is necessary.

Several layers of polypro or capilene in varying thickness, or neoprene, whatever you need to stay warm for

multiple hours of paddling on a cold drizzly day in the Northwest.

Neoprene Shorts or Long Underwear Bottoms – polypro or capilene

Throw Rope -50-60 feet in length and convenient to carry

Swim Cap/Gloves/Mittens

Earplugs - Are very important to the future health of any paddler's ears. In certain conditions these items are

essential for team safety on the river. Therefore, expect your instructor to ask you to accompany the shuttle

vehicle to the takeout if you don’t have these items at the put-in when they are necessary.

Z.T.S.

GOLDEN RULES OF KAYAKING

1. ALWAYS HAVE FOOTWEAR.

2. THROWBAGS ON RIVER RUNS.

3. DRESS FOR THE TAKE OUT.

4. HUDDLE BEFORE YOU HUCK.

5. KNOW THE GROUP EQUIPMENT.

6. ALWAYS BOAT WITH A BUDDY.

7. MAINTAIN THE UNBROKEN CHAIN FROM LEAD TO SWEEP.

8. COURTESY, COURTESY, COURTESY.

Zoo Town Surfers – Skill Level Benchmarks Beginner Equipment ___ Obtain Six Essentials ___ Learn to manage (and take home) personal gear each day, in a gear bag w/ carabiner. ___ Self rescue in flatwater. Skills/Technique ___ Tuck Forward and Wet Exit ___ Forward Stroke (plant entire blade at bow, >45° vertical, out at the hip) ___ Forward & Reverse Sweeps (plant blade at bow/stern, <45° horizontal paddle shaft, out at the hip) ___ Rudder ___ Bow Draw & Stern Draw ___ Begin learning the 40/20/10/C warm-up. ___ Hip Snap & T-Rescue (10 sec.) ___ Roll (3/3 times on one side) ___ Strong Current Ferry ___ Eddy Turn ___ Peal Out Teamwork ___ Learn to manage van cleanliness and trash at the river. ___ Learn to assist with loading and unloading boats.

Intermediate Equipment ___ Be self-sufficient in managing all personal equipment and carrying to the water. ___ Obtain a personal throw-bag and learn how to throw it. ___ Self rescue in moving (Class I-II) water. Skills/Technique ___ Master the C-stroke, Running Draw, and Static Stern Draw ___ Master the 40/20/10/C warm-up. ___ Learn the Slalom Turn ___ Roll (both sides 3 of 3 attempts + backdeck roll) ___ Fast Current/Wave Ferries ___ Powerful Eddy - Turns and Peal Outs ___ Stern Squirts ___ Front Surf small waves. ___ Side/Front Surf small holes. Teamwork ___ Learn to stack boats on rack and clip in bags. ___ Learn to manage all group equipment (van, extra equipment, everyone’s gear). ___ Learn respect and courtesy for other river recreationists and promote it in the group. ___ Memorize the Golden Rules.

Advanced Equipment ___ Obtain a dry top and use appropriate layering ___ Throw-bag & Pin Kit – know how to use (learn the Z-Drag & Vector Pull) Skills/Technique ___ Consistently use C-Stroke when catching eddies and pealing out. ___ Boof Stroke ___ Reverse ferries ___ Crossbow Stroke ___ Flatwater Cartwheel – initiating both bow and stern ___ Bow Stall ___ Sustained (30 second) Back Surfs ___ Establish sustained Front and Side Surfs in larger holes and waves, i.e., Cliffside, Brennan’s, Gouda, Dreamwave, Comp. Hole/Wave. ___ Controlled Spins and Roundhouses (3 in a row repetition). ___ Scouting & Portaging – protocol and practices Teamwork ___Load and Unload the Van Unassisted. ___ Know the Trucker’s Hitch (three twist), Half Hitch w/ Loop, & Keeper Bite. ___ Learn to mentor younger participants (respect, courtesy, skills, and technique). ___ Learn to assist group members while river running, i.e. portages, scouts, rescues.

REGISTRATION FORM

Student(s) Name: _____________________________________________________________________ Party responsible for payment (please print): ______________________________________________ Billing Address: ______________________________________________________________________ Street or P.O. Box City State Zip Code Telephone: __________________________________________________________________________

Home Work and/or Cell Emergency Contacts:___________________________________________________________________ My student will be attending ZTS for the: ! Session1 $650

! Session 2 $650 ! Both Sessions $1200

***Club starts in first week of June and ends last week in August Rentals

Boat $65/mo � Paddle $20/ mo � Helmet $5/mo � TOTAL DUE $ Credit Card Payment: Check One: � Visa � Mastercard Total Payment: $ Card Number: Expiration: Security Code: Billing zip code: Signature:

Make checks payable to Zoo Town Surfers and send with Registration/ Acknowledgement of Risk Form to: Zoo Town Surfers 3067 Fleet St Missoula, MT 59808

Zoo Town Surfers

Participant Agreement, Release, and Acknowledgement of Risk

In consideration of the services of Zoo Town Surfers, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in the capacity on their behalf (hereinafter collectively referred to as “ZTS”). I hereby agree to release and discharge ZTS, on behalf of myself, my children, my parents, my heirs, assigns, personal representative, and estate, as follows: 1. I acknowledge that my participation in outdoor adventure-based activities, such as whitewater kayaking, entails known

and unanticipated risks which could result in physical or emotional injury, paralysis, death, or damage to myself, to

property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. Furthermore, ZTS coaches, instructors, and facilitators have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant’s fitness or abilities. They might misjudge the weather, the elements, or the terrain. They may give inadequate warnings or instructions, and the equipment being used may malfunction.

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.

3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless ZTS from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of ZTS equipment or facilities, including such claims which allege negligent acts or omissions of ZTS.

4. Should ZTS, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce these agreement, I agree to indemnify and hold them harmless for all such fees and costs.

5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I have no medical or physical conditions that could interfere with my safety in this activity, or else I am willing to assume, and bear the costs, all risks that may be created, directly or indirectly, by any such condition.

6. In the event that I file a lawsuit against ZTS, I agree to do so solely in the State of Montana, and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that in any portion of this agreement is found to be void or unenforceable, the remaining portion shall remain in force and effect.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against ZTS on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and agree to be bound by its terms. Signature of Participant Date Printed Name Address

Parents or Guardian’s Additional Indemnification In consideration of (minor’s name) (“Minor”) being permitted by ZTS to participate in activities and to use its equipment and facilities, I further agree to indemnify and hold harmless ZTS from any and all claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor. Parent or Guardian Signature Date Printed Name

ZTS Medical Form

General Information for the Medical Professional Zoo Town Surfers (ZTS) is a development program for young whitewater kayakers. From mid-May to mid-September the club takes weekly outings to the Clark Fork River, Blackfoot River, and Frenchtown Pond, as well as several scheduled out-of-town trips to rivers in Montana, Wyoming, and Canada.

ZTS participants must be physically, emotionally, and mentally prepared for the rigors of whitewater kayaking 2 – 6 hours a day. During the early and later portions of the season this activity may be in cold and/or wet conditions. These outings can often require hiking into and out of river corridors carrying all the necessary personal equipment, and may include participation in a rescue scenario if one should occur. Out-of-town trips may also necessitate daily living in new and unusual outdoor environments and in some cases may be within several hours of a medical facility. Zoo Town Surfers is a drug and alcohol-free program and all students with behavioral or psychological concerns will need to disclose their history prior to participation. Please consider the above information while completing this form. The ultimate well-being of the student and his or her fellow students is the club’s first priority. Any concerns regarding the enclosed information will be discussed with the candidate, prior to the student’s participation in the Zoo Town Surfers program.

PLEASE PRINT LEGIBLY OR TYPE ALL SECTIONS.

_________________________________________ _____________ _________ Student’s Name DOB Age ___________________________________________________________ ____________________ Address Gender ___________________________________________________________ ____________________ City/State/Zip ___________________________________________________________ ____________________ Work or Daytime Phone Home Phone _____________________________________________________________________________________ Emergency Contact (Name, Address, Phone) _____________________________________________________________________________________ 2nd Emergency Contact (Name, Address, Phone) Student: circle YES or NO to each question. Please answer each question as honestly as you can. Physician, F.N.P. or P.A. should review all YES answers and comment on each. General Medical History Do you have any history of: 1. Respiratory problems including asthma? YES NO 2. Cardiac Problems? YES NO 3. Hypertension? YES NO 4. Chest pain? YES NO

Examiner’s Comments: _______________________________________________________________________ __________________________________________________________________________________________ 5. Headaches? YES NO 6. Seizures? YES NO 7. Dizziness or fainting, especially with exercise? YES NO Examiner’s Comments: ______________________________________________________________________ __________________________________________________________________________________________ 8. Urinary tract infections, or kidney problems? YES NO 9. Bleeding problems or liver disease? YES NO 10. Menstrual problems? YES NO Examiner’s Comments: ______________________________________________________________________ __________________________________________________________________________________________ Muscular/Skeletal Injuries Do you have any history of: 11. Knee, hip or ankle injuries or problems? YES NO 12. Shoulder, arm or back injuries or problems? YES NO 13. Head injuries including concussions? YES NO Examiner’s Comments: ______________________________________________________________________ __________________________________________________________________________________________ Cold or Altitude Problems Have you ever had: 14. Frostbite? YES NO 15. Heat related illnesses? YES NO 16. Altitude sickness? YES NO Examiner’s Comments: ______________________________________________________________________ Allergies Do you have allergies to: 17. Medication? YES NO 18. Food? YES NO 19. Environment? YES NO 20. Insect stings? YES NO Examiner’s Comments: ______________________________________________________________________ __________________________________________________________________________________________

Medications Do you take any medications, either prescription or non-prescription? YES NO Please list and be specific: __________________________________________________________________________________________ __________________________________________________________________________________________ Personal History: Please be honest with these questions. Smoking, alcohol use, and recreational drug use are not permitted while with ZTS. Therefore, the better we understand your history the more positive your experience at ZTS will be. Do you now use or have you ever had a problem with: 21. Smoking? YES NO 22. Alcohol? YES NO 23. Recreational drugs? YES NO Have you ever struggled with: 24. Suicide? YES NO 25. Eating disorder? YES NO 26. Have you ever been in treatment or counseling? YES NO

Reason? __________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Examiner’s comments: _________________________________________________________________ __________________________________________________________________________________ 27. Have you ever needed hospitalization for these issues? YES NO Examiner’s Comments: ______________________________________________________________________ Physical Examination Date of Exam ______________ Height __________ Weight __________ Blood Pressure __________ Pulse __________ General Appearance _________________________________________________________________________ __________________________________________________________________________________________ Concerns or abnormalities in exam ______________________________________________________________ __________________________________________________________________________________________

Restrictions ________________________________________________________________________________ __________________________________________________________________________________________ Examiner’s Statement: On the basis of my examination and review of the medical history, I believe that this student can fully participate in Zoo Town Surfers. I understand that the program is physically demanding and will require a suitable level of fitness. __________________________________________________________________________________________ Examiner’s name, address, and phone __________________________________________________________________________________________ Examiner’s signature Date Physical Examination Waiver: At their discretion a student’s parents or legal guardians may provide information concerning their child’s health and waive the physical examination requirement for participation in Zoo Town Surfers. In doing so, it is understood that by waiving this request for professional medical review pre-existing conditions or medical complications may go undetected at no fault of Zoo Town Surfers. Additionally, Zoo Town Surfers and its agents may not be able to provide adequate care within their professional capabilities as a result of this exemption. I have read the above statement and do hereby release and indemnify Zoo Town Surfers, its agents, owners, and associates with regard to my child’s health concerning any areas of wellness addressed in this medical form. __________________________________________________________________________________________ Parents’ or Guardians’ printed name, address, and phone __________________________________________________________________________________________ Parents’ or Guardians’ signature Date

MEDICAL CARE AUTHORIZATION

I hereby authorize Zoo Town Surfers, acting by and through officers, agents, or employees, to administer and/or seek medical aid in the event of any accident, illness, and/or injury and release said business and its agents, directors, officers, and/or employees from any liability resulting from the administration or seeking of such medical aid. I further authorize Zoo Town Surfers to give permission for hospital admittance and/or treatment in the event that I am unable to do so, and that my parent, legal guardian, or next-of-kin cannot be reached. I have medical insurance and agree to carry such insurance identification as is necessary for treatment in the event of injury or illness. I also agree to assume financial responsibility for all expenses associated with emergency care and/or transportation. Student’s Name (printed) ______________________________________________________________

Student’s Signature ______________________________________________ Date _______________________ Parent/Guardian Name (printed) _________________________________________________________ Parent/Guardian Signature ________________________________________ Date _______________________

Insurance Information (Student should carry card as well)

Health Insurance Company ____________________________________________________

Subscriber __________________________________________________________________ Policy Number _____________________________________________________________________ 24-Hour Emergency Claim Reporting Number ( ) - __________________________________

If I have declined to provide information pertaining to insurance coverage plans, I agree to provide my son or daughter with an appropriate means (credit card) to pay for a hospital visit, should one be necessitated. ________ Parent or Guardian Initials