Kayak taster Interest Form
Please complete the following form to express your interest in attending one of our Kayak taster sessions. We'll keep you posted on what's coming up.
Name
*
First Name
Last Name
Please select what describes your level best:
*
Complete novice
Confident on water
Phone number:
*
Postcode:
*
Email
*
example@example.com
Date of birth:
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Other
Prefer Not To Say
For Insurance and Health and Safety Purposes, are you currently on or taking any medication?
*
For Insurance and Health and Safety Purposes, do you have any health conditions? (Please consider both Mental and Physical Health Conditions)
*
Submit
Should be Empty: