Booking Details – Acceptance FormPlease remember that each member of your party needs to complete a separate form. FOR ALL COURSES:Course Date*Name of course*Tell us about any previous sea kayaking experience you may haveName* First Last Date of brith*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)*British Canoeing Membership number (if you have one)Where did you hear about us?Terms & Conditions* I agree to the current terms and conditions found at www.seakayakplockton.co.ukPersonal 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*Name and telephone number of person to be contacted in an emergency*Please declare anything medical, including allergies, you think we should know about. (this information helps us make your experience enjoyable and safe, it doesn't stop you from kayaking with us). If you have nothing to declare, please write 'nothing to declare'.*Where are you staying while you're in the area?Kit and equipment* I have all my own kit and equipment (kayak, paddle & clothing) I would like Sea Kayak Plockton to provide kit and equipment for meWe need to know if you need us to bring any kit and equipment for you. If you need us to, please make sure you complete the questions where we ask for size information.If you require us to provide kit and equipment for you, please let us know what you would like us to bring Select All Kayak Paddle Long-john wetsuit Paddling cagoule Wetsuit boots Buoyancy aid SpraydeckHeightWeightShoe size (please specify if UK/USA/EU)Clothing sizeMen: S M L XL Women: 10, 12, 14, etc (please specify if UK/USA/EU)Please remember that each member of your party needs to complete a separate form