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Book me in for the Leaders Retreat - 13 October 2019
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Name:
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Email Address
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Contact Number:
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Do you have any Injuries or Medical Conditions - if so please describe
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Emergency Contact Person and Number (ICE)
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Your answer
I am a Fully Paid up Member of The Yakity Yak Kayak Club, I have read and understood the website descriptions for this trip.
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(Please tick)
Yes
No - I need to rejoin please contact me
Briefly Describe your leading experience (How long, last trip, preferred types of trip eg overnight - north shore area - etc)
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I will be attending the evening BBQ and paddle
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BBQ Only
Paddle Only
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