2017 Castine Kayak Adventures Online Registration/Release
Please fill out this release form prior to your adventure with us. Information on form is confidential and necessary for your safety and the safety of the group. We appreciate receiving your information.
Program/Trip/Tour *
Trip Date: *
Example: 7/18/17
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DD
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YYYY
Last Name *
Your answer
First Name *
Your answer
Additional names: (Families may fill out one form together)
Please add only one name per line
Your answer
Email Address *
Your answer
Registration Payment *
Amount Paid *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone *
Your answer
Birthday
Your answer
Weight *
We ask the following so that we can choose the perfect kayak for you. Please list each members weight and height
Your answer
Height *
Your answer
Shoe Size *
Your answer
*
We provide top of the line kayaks. Please indicate if you will use our gear or your own *
If you have your own kayak please fill out the following:Boat Make/Model/Length
Your answer
Please indicate other items you need us to provide or bring for purchase.
Your answer
Please rate your kayaking skills: *
How did you hear about Castine Kayak? *
Your answer
What do you hope to gain from your experience with our program?
Your answer
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