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Kayak Session Registration Form
Please fill in the information below once per person.

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Full Name *
Phone Number *
Email Address *
Emergency Contact Name and Phone # *
Kayaking Experience *
Swimming Skill Level *
Medical Alerts
Check any that apply.
Allergy Alerts
Check any that apply and provide details.
Please state any restrictions on activities or particular fears.
If we are unable to accept your registration a full refund will be issued.  Cancellations 2 weeks or more before the session start date may incur a 25% administration fee.  No refunds will be issued after that date without medical validation.  Refunds are not issued if participant withdraws from a session early.  We reserve the right to cancel registration without notice.  In such a case, a full refund will be issued.
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