Expedition Booking Details – Acceptance FormPlease remember that each member of your party needs to complete a separate form. Expedition Start Date*Contact DetailsName* First Last Age*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Contact Number (mobile number preferably)*Name and telephone number of person to be contacted in an emergency (this needs to be someone who is not on the trip with you)*Please declare anything medical you think we should know about (this information helps us make your experience enjoyable and safe, it doesn't you from kayaking with us).*Special dietary requirementsKit and Equipment* I have my own kit and equipment I wish to arrange kit and equipment rentalIf you wish us to arrange kit rental, please let us know which kit you need Kayak Paddle Spraydeck Long-john wetsuit Cagoule Wetsuit boots Buoyancy aidHeightWeightShoe size (please specify if UK/USA/EU)Clothing sizeMen: S M L XL Women: 10, 12, 14, etc (please specify if UK/USA/EU)Where did you hear about us?Terms & Conditions*Website links to the terms and conditions for the expedition can be found in the expedition details page. I have read and agreed to the terms and conditions for Sea Kayak PlocktonInsurance Indemnity*We strongly advise our guests to take out appropriate comprehensive accident and cancellation insurance. I confirm that Sea Kayak Plockton are absolved of any liabilities arising if I am not adequately insuredPersonal responsibility* I appreciate that sea kayaking may be hazardous by its nature and I accept a certain level of risk.Privacy and Data ProtectionThe information submitted in this form is stored electronically and is not shared with anyone else outside of Sea Kayak Plockton. It's only used in relation to your sea kayaking experience with us in order to ensure your safety and comfort. During the booking process your email address is used to confirm your booking and give you information that you need about your sea kayaking experience. From time to time (about 4 times a year) we may also send out newsletters to let you know what we're up to as well as information on our trips and courses. We need to know if you're happy for us to do this. We'd also like to know if you're happy for us to take photos of your kayaking experience and possibly use these for advertising purposes (website, social media, electronic newsletters). You can withdraw consent at any time. If you receive our email newsletters, there is an unsubscribe option at the bottom of every mailing. To withdraw consent for your photographs to be used, please let us know by using the contact form on our website. I am happy to receive email newsletters I am happy for photos to be taken which may be used for advertising purposesPrint name to confirm all of the above*Please remember that each member of your party needs to complete a separate form