ICE Contact information
Full Name *
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Student number *
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Email *
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Uni Address *
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Home Address *
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Phone number *
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Emergency contact name *
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Emergency contact relationship to you *
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Emergency contact number *
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Medical Conditions *
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Do you understand that kayaking is a dangerous activity and that we are not liable for any costs or injuries incurred, and that you consent to us holding this information for use only in an emergency? *
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