Trip Registration Form
When you submit this form, your details are automatically added to the trip list, and you should receive an automated email response.  If the plans change for any reason we will contact you by email and/or text. Thanks
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Email *
Which trip are you registering for? *
Full Name *
Membership Number (found on membership card emailed to you when you enrolled) *
Mobile Number *
To allow the Leader to be sure participants are paddling a kayak that will keep up with the pack, can you please supply the following:

Make of kayak/model of kayak/length of kayak

*
VHF Call Sign
If you have one
Medical Conditions & Medication
Level of Experience *
Membership *
I am a current member of The Yakity Yak Kayak Club, and I have read and understand the website information for this trip.
Anything else you would like to tell us?
A copy of your responses will be emailed to the address you provided.
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