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Antietam Creek
Conococheague Creek
Conodoguinet Creek
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Monocacy River
Contact Us
About/FAQs
Kayaks
Kayak Trips
Antietam Creek
Conococheague Creek
Conodoguinet Creek
Potomac River
Juniata – Susquehanna River
Letterkenny Reservoir
Monocacy River
Contact Us
Last available day for the 2026 season is October 30th.
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This field is for validation purposes and should be left unchanged.
Destination
Known Hazards
Launch Point
Return Point
Departure Date
MM slash DD slash YYYY
Return Date
MM slash DD slash YYYY
Departure Time
Hours
:
Minutes
AM
PM
AM/PM
Return Time
Hours
:
Minutes
AM
PM
AM/PM
Emergency Contact
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone
Are they aware of your plans?
Yes
No
Participants
Name 1
Age 1
Phone 1
Sex 1
Name 2
Age 2
Phone 2
Sex 2
Name 3
Age 3
Phone 3
Sex 3
Name 4
Age 4
Phone 4
Sex 4
Name 5
Age 5
Phone 5
Sex 5
Name 6
Age 6
Phone 6
Sex 6
Name 7
Age 7
Phone 7
Sex 7
Name 8
Age 8
Phone 8
Sex 8
Name 9
Age 9
Phone 9
Sex 9
Name 10
Age 10
Phone 10
Sex 10
Vehicles
Make 1
Model 1
Color 1
Plate 1
Make 2
Model 2
Color 2
Plate 2
Make 3
Model 3
Color 3
Plate 3
Make 4
Model 4
Color 4
Plate 4
Parking
Parking for Launch Site
Backup Parking Plan
Boats on Water
Boats
Not used
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GPS
Not used
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Boats_2
Not used
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GPS_2
Not used
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Boats_3
Not used
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GPS_3
Not used
1
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Boats_4
Not used
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GPS_4
Not used
1
2
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9
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Boats_5
Not used
1
2
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5
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GPS_5
Not used
1
2
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5
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9
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Boats_6
Not used
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GPS_6
Not used
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Boats_7
Not used
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25
GPS_7
Not used
1
2
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5
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9
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11
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15
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19
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25
Boats_8
Not used
1
2
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GPS_8
Not used
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2
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Boats_9
Not used
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GPS_9
Not used
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Boats_10
Not used
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GPS_10
Not used
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Emergency Equipment/Medication(s)
ALL participants received a safety demonstration
Yes
ALL participants are comfortable with the equipment and understand its operation
Yes
ALL participants have received a properly fitting PFD “life-jacket” and will comply with all laws and regulations regarding use
Yes
ALL questions were answered prior to launch
Yes
Printed Name
Signature
Date
MM slash DD slash YYYY
