Basic Kayak Safety and Skills Registration

By Writing Your Name Here You Acknowledge That Prior To Payment You Have Read, Understood And Agree To Our Waiver. You Also Agree To Sign An Additional Hardcopy Of The Waiver On Day 1 Of The Course.

Date of your acceptance

In case of Emergency, Contact

Emergency Contact Phone Number

Please List Any Medical Conditions That May Affect Your Ability To Participate In This Course

Please List Any Prescription Medications You Are Taking

Please list any allergies you have

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Basic Kayak Safety and Skills

Waiver

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