Full Name (required)

Mobile # (required)

Beginner?

Next Of Kin (required)

Next Of Kin phone # (required)

Relevant medical conditions

Equipment

I require the following equipment:

Participation Agreement

I accept that kayaking is a sport with an inherent risk. By participating I agree to act in a manner that will not put myself or any other member of the group in danger.

I can confirm that I have declared any medical conditions, illnesses or injuries above.

I understand I am at liberty to make my own choices throughout the trip, as to whether or not I wish to partake in the activity offered.

However, I accept that if a river leader has made the decision that something is beyond my ability, he/she has the final say on participation.

I accept that trip leaders cannot be held liable for injury to myself, or damage or loss of possessions.