Client Information Form

Client Information Form

Contact Details
Name: *

First Name Last Name
Address *

Street Address

Street Address Line 2

City County

Postal / Zip Code Country
E-mail *
example@example.com
Phone Number *
Emergency Contact Details *
In case we need to contact someone on your behalf
Paddler Sizing *

Small Medium Large Extra Large
Where did you hear about us?
Would you like to subscribe to our website and receive very occasional emails and notifications?

Yes No
Medical Information
Sea kayaking can be a physically demanding sport, and may take place in remote areas beyond the immediate reach of the emergency services. Please help your guide/ coach to keep you safe by answering the following questions. Please note that declaring a medical condition will not, in most cases, prevent you from kayaking. We do take the protection of data that we hold about you seriously and will do everything possilbe to ensure that data is collected, stored, processed, maintained, cleansed and retained in accordance with current and future UK data protection legislation. We do NOT pass on your data to any third party for any reason, other than the emergency services in the event of an incident.
I consent for my special category personal data provided below to be shared with coaches and guides for the purposes of the delivery os safe participation *

Yes No
Medical Issues *
Anything else we should know?
Have you had COVID-19, or have you experienced any cold or flu like symptoms in the last 14 days? (fever, cough, shortness of breath or other respiratory problems) *

Yes No
Have you had close contact or cared for someone diagnosed with COVID-19 in the last 14 days? *

Yes No
I hereby understand that the information that I have given above is, to the best of my knowledge, truthful and accurate. I understand that sea kayaking can be a hazardous activity that can, although highly unlikely, result in severe injury or death. Although Sea Kayak Argyll & Bute will take all possible precautions to keep me safe, I understand these risks and accept them in order to participate in the activity. If I have any concerns about the health and safety of myself or others members of the group, I will address them to the group leader for explanation or resolution. I agree that as a condition of use of any equipment provided by Sea Kayak Argyll & Bute, that I shall take reasonable care to prevent its damage or loss, and that if I do damage or lose this equipment I may be held liable in full or in part for its repair, recovery or replacement.

I confirm that I have had access to the privacy statement and how my data will be used.

There is a link to the full business terms and conditions below.
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Client Information Form

Medical Information