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Kayak / SUP Tours & Hire Personal Booking Form

DISCLAIMER / WAIVER 

I/we understand that outdoor recreation programs: kayaking, snorkelling and Stand Up Paddle Boarding inherently involve some risks, I/we will not hold Australian Kayaking Adventures its staff, sub contractors and volunteers liable for any personal loss or injury sustained or damage to personal property during any of our tours and / or kayak and SUP hire. I/we give permission for First Aid to be administered by qualified staff (min Senior First Aid certificate) when deemed necessary. All the information provided by me above is true and correct. I have read and understand the Terms and conditions overleaf.

AUSTRALIAN KAYAKING ADVENTURES

I/we, am/are aware that kayaking, SUP, snorkelling and participating in Australian Kayaking Adventures tours/hire can be a dangerous undertaking and in undertaking such activities I/we do so at my/our own risk

I/we am/are aware that it is a condition of participation in all of Australian Kayaking Adventures tours/ hire that Australian Kayaking Adventures, its owners, instructors, subcontractors, agents, volunteers are absolved from all liability, howsoever arising from personal injury or property damage howsoever caused (weather fatal or otherwise) arising out of any tours/ hire conducted by Australian Kayaking Adventures in any way what so ever due to any negligent act, breach of duty, default and/or omission on the part of Australian Kayaking Adventures its owners, instructors, sub-contractors and volunteers.

I/we am/are aware that i will be placed into a wild and natural environment and that Australian Kayaking Adventures takes no responsibility for the behaviour of others during any of their tours/hire and therefore, I/we am/are absolve Australian Kayaking Adventures from all liability howsoever caused by other parties or any terrestrial marine organisms during the whole duration of the tour/hire weather on land or sea.

I/we am/are indemnify Australian Kayaking Adventures against any claim, action suite or demand which may be made against Australian Kayaking Adventures by a third party arising out of or connected in any way to my/our participation with Australian Kayaking Adventures in Kayaking, snorkelling,Stand Up Paddling, participating in any of their tours or being involved in activities generally promoted by Australian Kayaking Adventures.

Itinerary Changes

Due to the nature of our tours weather, local council and/or government regulations may rehire us to make appropriate changes to itineraries within the tour description. In the event of this happening an alternative tour will be arranged. If travellers choose not to take part in this activity we are unable to refund or compensate.

HEALTH INFORMATION

Australian Kayaking Adventures tours and hire are intended for persons in reasonable health. By signing the reverse of this form you verify that you do not have any physical conditions or disabilities that would create a hazard for you or other participants. Australian Kayaking Adventures reserves the right to decline your participation should your health ,actions or general deportment impede the operation of the tour, or rights, welfare and enjoyment of other tour participants.

July 26, 2024

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
SWIMMING ABILITY: (Can you swim?)*
Yes
No
KAYAKING/ SUP EXPERIENCE (Please Check):
None
Beginner
Competent

Medical Notes 

Do you have any medical conditions that the Tour Guide needs to be informed about? (e.g. asthma, pregnancy, epilepsy, heart conditions, allergies, motion sickness, water phobias, other?*
Yes
No

If YES please provide details below:
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
SWIMMING ABILITY: (Can you swim?)*
Yes
No
KAYAKING/ SUP EXPERIENCE (Please Check):
None
Beginner
Competent

Medical Notes 

Do you have any medical conditions that the Tour Guide needs to be informed about? (e.g. asthma, pregnancy, epilepsy, heart conditions, allergies, motion sickness, water phobias, other?*
Yes
No

If YES please provide details below:
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
SWIMMING ABILITY: (Can you swim?)*
Yes
No
KAYAKING/ SUP EXPERIENCE (Please Check):
None
Beginner
Competent

Medical Notes 

Do you have any medical conditions that the Tour Guide needs to be informed about? (e.g. asthma, pregnancy, epilepsy, heart conditions, allergies, motion sickness, water phobias, other?*
Yes
No

If YES please provide details below:
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
SWIMMING ABILITY: (Can you swim?)*
Yes
No
KAYAKING/ SUP EXPERIENCE (Please Check):
None
Beginner
Competent

Medical Notes 

Do you have any medical conditions that the Tour Guide needs to be informed about? (e.g. asthma, pregnancy, epilepsy, heart conditions, allergies, motion sickness, water phobias, other?*
Yes
No

If YES please provide details below:
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
SWIMMING ABILITY: (Can you swim?)*
Yes
No
KAYAKING/ SUP EXPERIENCE (Please Check):
None
Beginner
Competent

Medical Notes 

Do you have any medical conditions that the Tour Guide needs to be informed about? (e.g. asthma, pregnancy, epilepsy, heart conditions, allergies, motion sickness, water phobias, other?*
Yes
No

If YES please provide details below:
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
SWIMMING ABILITY: (Can you swim?)*
Yes
No
KAYAKING/ SUP EXPERIENCE (Please Check):
None
Beginner
Competent

Medical Notes 

Do you have any medical conditions that the Tour Guide needs to be informed about? (e.g. asthma, pregnancy, epilepsy, heart conditions, allergies, motion sickness, water phobias, other?*
Yes
No

If YES please provide details below:
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
SWIMMING ABILITY: (Can you swim?)*
Yes
No
KAYAKING/ SUP EXPERIENCE (Please Check):
None
Beginner
Competent

Medical Notes 

Do you have any medical conditions that the Tour Guide needs to be informed about? (e.g. asthma, pregnancy, epilepsy, heart conditions, allergies, motion sickness, water phobias, other?*
Yes
No

If YES please provide details below:
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
SWIMMING ABILITY: (Can you swim?)*
Yes
No
KAYAKING/ SUP EXPERIENCE (Please Check):
None
Beginner
Competent

Medical Notes 

Do you have any medical conditions that the Tour Guide needs to be informed about? (e.g. asthma, pregnancy, epilepsy, heart conditions, allergies, motion sickness, water phobias, other?*
Yes
No

If YES please provide details below:
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
SWIMMING ABILITY: (Can you swim?)*
Yes
No
KAYAKING/ SUP EXPERIENCE (Please Check):
None
Beginner
Competent

Medical Notes 

Do you have any medical conditions that the Tour Guide needs to be informed about? (e.g. asthma, pregnancy, epilepsy, heart conditions, allergies, motion sickness, water phobias, other?*
Yes
No

If YES please provide details below:
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
SWIMMING ABILITY: (Can you swim?)*
Yes
No
KAYAKING/ SUP EXPERIENCE (Please Check):
None
Beginner
Competent

Medical Notes 

Do you have any medical conditions that the Tour Guide needs to be informed about? (e.g. asthma, pregnancy, epilepsy, heart conditions, allergies, motion sickness, water phobias, other?*
Yes
No

If YES please provide details below:
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
EMERGENCY CONTACT DETAILS

Name: *

Relationship: *

Address:

Telephone #:
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
SWIMMING ABILITY: (Can you swim?)*
Yes
No
KAYAKING/ SUP EXPERIENCE (Please Check):
None
Beginner
Competent

Medical Notes 

Do you have any medical conditions that the Tour Guide needs to be informed about? (e.g. asthma, pregnancy, epilepsy, heart conditions, allergies, motion sickness, water phobias, other?*
Yes
No

If YES please provide details below:
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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