Paddle Class - Kayak Philippines Registration Form

Kayak Philippines Registration Form
Discover • Explore • Experience
https://kayak-philippines.com/

Guest Information

Date: Book a Kayak Tour

Date

Name

PrefixFirst NameMiddle NameLast NameNickname

Birthday Date

Date

Guardian / Parents Names (for 15 y/o below)

First NameLast Name

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Passport # (for Foreign Guest)

Home Phone

Area CodePhone Number

Mobile Phone

Area CodePhone Number

E-mail

Have you done any paddling related activity/sport (kayaking, open canoeing, SUP) before?

Have you attended any training/s related to paddling?

Other

Have you paddled more than 30minutes during your previous paddling trips?

Are you comfortable swimming in a Personal Floatation Device in the sea or lake in a flat water or rough water environment?

Kayak or SUP skill level

	1	2	3	4	5

1 is Begginer, 5 is Advanced

Paddle Class: Learn How to Kayak

_{Join our kayak paddling program and learn the fundamentals of kayaking in a safe, fun, and supportive environment. Whether you're a complete beginner or looking to build your confidence on the water, our structured training program will help you develop essential kayaking skills.

Program Includes:
•Coaching from a Qualified Kayak / SUP Instructor
•Use of Sit On Top Kayak, (Additional p800 for Sit-In Kayak upgrade)
Paddle and Personal Flotation Device (PFD)
•Certificate}

Booking Information
Before booking a program, please contact us to confirm schedules, availability, and program requirements.

Email: philippinekayak@gmail.com
Mobile: +63 917 862 3862 (Call or Text)

Our team will be happy to assist you with program details, and scheduling.

Date: Book a Program

Date

TYPE OF PROGRAM

I would like to upgrade my kayak

List of Equipment kayak and SUP rental for tour package: includes paddle and life vest

List of Equipment kayak and SUP rental for tour package: include paddle and life vest (3-4hours paddling activity)

Life Vest Size / PFD (Personal Floatation Device)

Kayak / SUP Regular rental of equipments (Use of equipment Per hour rate)

OTHER TOUR CHARGES

PAYMENT
Online Payment using Paypal or Credit Card

Bank Transfer:

SecurityBank Account Name: Kayakphilippines Travel & Tours Acc#: 0000039027660	BDO Account Name: Harvey O. Tapan Acc#: 002140238237
BPI Account Name: Harvey O. Tapan Acc#: 4529278964	Gcash Harvey Tapan 09178623862

**Kindly send proof of payment to our email at kayakphilippines.reservation@gmail.com with email subject as Proof of Payment and Full Name (example: Proof of Payment - Juan Carlos)

Please wait for our Kayak PH T&T representative to validate your payment. You will receive a confirmation email once payment is received.

Our Cancellation Policy is simple and strict, but fair.
If you cancel with 24 hours or more notice you will receive a 100% refund. No shows and cancellations within 24 hours of the reservation or event, for any reason, are subject to full reservation cost. We do not allow cancellations for less than ideal weather. If the weather is bad due to high winds, lightning, rain, storms in the area, PHIVOLCS alert level announcement, acts of God and unsafe conditions we will call you to cancel or move your reservation. Cancellations made by our staff due to weather will receive a full refund. We reserve the right to cancel any rental at any time due to extreme conditions deemed unsafe.

Please note – if you arrive at your reservation late, this counts toward your time on the water. We cannot just extend times due to the equipment being reserved throughout the day. There are fees associated with returning equipment outside of the reservation time.

Proof of payment

Browse Files

Note

Emergency Contact & Health Insurance Information

Emergency Contact Name

First NameLast Name

Relationship

Mobile Number

Area CodeMobile Number

Do you have health insurance ?

Insurance Carrier

Name of Policy Holder

Subscriber ID/Group Number

Card Number / Card Date

Please select all the options below that describe you:

Does you have any allergies, chronic illness, or medical conditions that would limit high level activtiy?

Other

Please select the conditions that apply to you:

Are you currently taking any medication?

Please describe

Name of Physician / Emergency Medical Care Facility

Physician Contact Number

Area CodePhone Number

Release of Liability

Although the safety of all outdoor activities is the primary concern, indoor / outdoor activities with Kayak Philippines may cause injuries and/or death. IName* , live at City* expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the Kayak Philippines Travel & Tours and the persons in charge.

I have read and agree to the above conditions

Confirmation E-mail

Signature

After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at kayakphilippines.reservation@gmail.com.