West Coast Sea Kayaking

Booking Form

Date(s) of course:_____________________________

Location: Wales / Cumbria/ Other (please circle)

Do you want exclusive provision? Yes/ No (please circle)

Personal Details (first person):

Name___________ Age________ M/F__________

Approx height and weight (for correct equipment sizing)______________________________________

Previous kayaking experience(in brief)_______________________________________

Any medical conditions which may affect your paddling or which we should be aware of?___________________________________

Contact no. (home)_________________________________

Mobile:__________________________________________

Address:________________________________________________________________________________________________________

e-mail:_________________________________________________

Are you providing any of your own equipment e.g. kayak, paddling top etc.? Some prefer to use their own equipment; this makes organising and transportation easier for us if we know in advance.________________________________________________

Personal Details (second person):

Name___________ Age________ M/F__________

Approx height and weight (for correct equipment sizing)______________________________________

Previous kayaking experience(in brief)_______________________________________

Any medical conditions which may affect your paddling or which we should be aware of?___________________________________

Contact no. (home)_________________________________

Mobile:__________________________________________

Address:________________________________________________________________________________________________________

e-mail:_________________________________________________

If there are more than two of you in the party, please complete the “personal details” section on a separate form.

Please send a deposit of 25% of the total price with your booking form to:

West Coast Sea Kayaking

Yew Tree House, Westbury

Shrewsbury

Shropshire SY5 9QX

Please make your cheque payable to: K Smith

Thank you for your booking