Wales 2020 Expression of Interest

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This form will close on 1st of December at 17.00

Filling out this form will not guarantee your place on the trip. We will contact you whether or not you have a place on this trip on the 4th of December.

If you're successful the first installment (€50) will be required by bank transfer to the club by Wednesday 10th December or your place may be given to someone else.

Email *

Full Name *

Student Number *

Phone Number *

Date of birth *

YYYY

Your Experience

In order for a development trip to work it's important to take a mix of all experiences and abilities. Answers will be compared with records and proof may be required.

How many whitewater trips have you been on with ULKC (e.g. Castleconnell, Glens , Wicklow...) *

2-5

6-6+

Kayaking Skill Level *

Beginner (Been in a boat a couple of times)

Level 2 (Taken assessment or lots of training in pool)

Level 3 (Catching Eddys, Used to moving flow, can roll)

Level 4

Level 5

Any other information about your skill/ability. *

Your EHIC card number (previously E111) - This is a medical card that covers you while you are in the EU countries. (Ask your mammy)

I am in possession of my passport and KNOW it is in date *International students are you allowed to visit Wales* *

Yes

I will need to use club... *

Boat

Spraydeck

Paddle

Buoyancy Aid

Helmet

Wetsuit

Cag

Required

Do you have thermals to wear on the river? *

yes

No (I will get some)

Emergency Contact's Name *

Emergency Contact Number *

Relationship of emergency contact to you? ie Mam *

Do you have any medical conditions that the club need to know about? *

Yes (I'll let Stephen Watkins or Peter Walsh know)

Do you have any dietary needs? If so what are they?

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