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Regardless of age, must fill out a separate form. Use another sheet of paper if additional space is needed. Name: Address: City: Home: ( State: ) Zip: Work: ( E-mail address: Please indicate your swimming ability: ) Date of Birth: Advanced Intermediate Beginner Non-Swimmer Have you been on a Sierra Club National Outings trip before? Yes No If yes, please list the most recent trip(s) including trip types, dates, trip names, locations, and leaders. What is your river-rafting or paddlin.
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