Waterfront Kayaks Pty Ltd t/a Waterfront Kayak (2019/468783/07) Guided Sea kayaking It looks like your internet is very good, do you want to synchronize the data? Total Signed: Total Returning: Sync data Thank you for completing our waiver form. Your submission for Guided Sea kayaking event was processed successfully. Hi - welcome! Please let us know if you are a new customer, or a returning customer.... Make a selection New customer Returning customer (please use same email address). Name * Surname * email * Are you a new customer? I'm a new customer Are you completing this on behalf of a minor? Make a selection No Yes For legal Guardian (All fields compulsory) Guardian Full Name and Surname * Relationship to minor * Guardians valid Email Address * Guardians contact number (also for emergencies) * Minor 1 Remove Minor's name * Minor's Surname * Minor's date of birth * Day1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 MonthJanuary February March April May June July August September October November December Year2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Minor's gender * Make a selection Male Female Minor's age * Make a selection 123456789101112131415161718 Any medical conditions * Make a selection Yes No INSERT DETAILS HERE Add another minor First name First name * Last name Last name * Email Email * Mobile / Cell Number Mobile / Cell Number * Country Country * Make a selection South Africa Australia Germany United Kingdom United States Netherlands India Namibia Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Aruba Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cape Verde Cambodia Cameroon Canada Cayman Central Chad Channel Islands Chile China Colombia Comoros Congo Costa Rica Cote d\\\\\\\\\\\\\\\'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Faroe Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Dem. 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Any medical conditions we need to be aware of? * How did you hear about us? How did you hear about us? * Make a selection Brochure Word of mouth/referral Printed advertisement Internet search Social media Newsletter Radio or television Saw the facility Other Age Age * Make a selection 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100+ By completing and submitting this form you are agreeing to the following: I, the undersigned, accept the tour arrangement as described to me. I also agree to fully respect and abide by the rules set out by the Trip Leader/Guide and acknowledge the refund and cancellation policy. I consent to Waterfront Kayak utilising any audio and visual multimedia taken of me whilst on the trip for marketing purposes. I confirm that am not intoxicated by alcohol or drugs that may affect my ability to paddle safely and not put myself, and others, in danger. I also accept for myself, and/or on behalf of my group or children, the conditions of the tour arrangement and indemnify Waterfront Kayaks (Pty) Ltd and its agents as per the waiver set out below. WAIVER I, the undersigned, hereby assume all of the risks of participating and/or volunteering in this activity or event and Waterfront Kayaks (Pty) Ltd shall not be responsible for, and shall be exempt from, all liability in respect of any loss, damage, injury, accident, delay and inconvenience to any person, or his or her luggage or personal property, wherever the same shall occur and whenever the same shall arise from or be occasioned by the negligence of Waterfront Kayak, or any other persons directly or indirectly in the employment or service of the company, or otherwise under any circumstances whatsoever. I understand that kayaking at sea can be a dangerous activity and agree to the above conditions. I consider myself fit, healthy and able to swim – or float wearing the provided floatation device – and have no undisclosed medical condition or allergy and have not been advised to not participate by a qualified medical professional. I agree to these terms and conditions