Multi day kayak booking form

Please select your kayak adventure

Please select your departure date *

Number of People booking for: *

Name *

Address

Email *

Phone Number

Person Detail

Name

The full name of the consumer to whom this order will be shipped

Gender

Skill Level

Brief description of your outdoor background, regular physical activities and swimming ability

Brief description of any medical conditions or allergies. (Detailed medical info required after booking. Medical practitioner declaration required if over 70).

Any special dietary requirements (eg. vegetarian, allergies)?

Age

Approx weight

Approx height

Approx size for PFD / Life Jacket

I understand a deposit of $400 is required to be paid on booking. Details on how to pay the deposit will be provided once your booking is confirmed. The balance of payment is due 60 days prior to departure *

I acknowledge this booking is tentative until my booking is confirmed by email and that my deposit of $400 is non-refundable. We strongly recommend suitable travel insurance be purchased at the time the deposit is paid *

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Multi day kayak booking form