Canoe & Kayak Course Enrolment Form
Thank you for your interest in our Kayaking Skills Course.

If, for any reason, the course cannot go ahead as scheduled, participants will be transferred to another date.

If, due to unforeseen circumstances, a participant cannot attend the course on the date booked, they can transfer to another date.

Your details may be shared with the Yakity Yak Kayak Club.
Given Name *
Your answer
Last Name *
Your answer
Address1 *
Your answer
Address2
Your answer
City *
Your answer
Post Code *
Your answer
Phone Numbers *
Home, work, mobile as applicable
Your answer
Email Address *
Your answer
Emergency Contact Person 1 *
Name, Relationship, Contact Numbers
Your answer
Emergency Contact Person 2
Name, Relationship, Contact Numbers
Your answer
Relevant Medical Conditions, and Medication *
Your answer
Which course are you enroling for? *
Start Date *
Your answer
Anything else you would like to tell us?
Your answer
Risk Disclosure Acknowledgement *
Required
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