Minimum Guide Qualification Form - River Outfitter Licensing Program Page 2
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2ON-RIVER TRAINING, CONT.
Date
River
Put-in
Take-out
# Hours On River
# River Miles
Instr. On Board?
Instr. On Trip?
Instr. Name____________________ROL Lic. #____________
Paddle
Oar
Instr. Signature _____________________________________
Combined
Date
River
Put-in
Take-out
# Hours On River
# River Miles
Instr. On Board?
Instr. On Trip?
Instr. Name____________________ROL Lic. #____________
Paddle
Oar
Instr. Signature _____________________________________
Combined
Date
River
Put-in
Take-out
# Hours On River
# River Miles
Instr. On Board?
Instr. On Trip?
Instr. Name____________________ROL Lic. #____________
Paddle
Oar
Instr. Signature _____________________________________
Combined
Date
River
Put-in
Take-out
# Hours On River
# River Miles
Instr. On Board?
Instr. On Trip?
Instr. Name____________________ROL Lic. #____________
Paddle
Oar
Instr. Signature _____________________________________
Combined
Date
River
Put-in
Take-out
# Hours On River
# River Miles
Instr. On Board?
Instr. On Trip?
Instr. Name____________________ROL Lic. #____________
Paddle
Oar
Instr. Signature _____________________________________
Combined
Date
River
Put-in
Take-out
# Hours On River
# River Miles
Instr. On Board?
Instr. On Trip?
Instr. Name____________________ROL Lic. #____________
Paddle
Oar
Instr. Signature _____________________________________
Combined
Date
River
Put-in
Take-out
# Hours On River
# River Miles
Instr. On Board?
Instr. On Trip?
Instr. Name____________________ROL Lic. #____________
Paddle
Oar
Instr. Signature _____________________________________
Combined
Hours with instructor On-Board - This Sheet:
Hours with instructor On Trip - This Sheet:
River Miles - This Sheet:
Hours with instructor On Trip - Other Sheets:
River Miles - Other Sheets:
Hours with instructor On-Board - Other Sheets:
Total Hours with Instructor On Trip:
Total River Miles:
Total Hours with Instructor On-Board :
Guides’s First
Date:
River:
Instructor Name:
Instructor Signature:
Regulated Trip: _____________ _________________________________ _______________________________________ ______________________________
Guides’s Completed Trip on
Date:
River:
Instructor Name:
Instructor Signature:
each Section of River to be Guided: _____________ __________________________ _______________________________ ______________________________
Under penalty of perjury I declare that all information contained in this Guide Qualification Form, and any attached sheets, is a true and accurate record of my guide training.
Name:
Date:
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