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Wild River Course Booking Form
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* Indicates required question
Name
*
Your answer
Course Title
*
Your answer
Dates
*
Your answer
Additional Courses
Your answer
E-mail
*
Your answer
Mobile Number
*
Your answer
Medical conditions, allergies or significant injuries required. If none state 'none'.
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Paddle UK Membership Number, if you have one.
Your answer
If you are a Paddle UK member please indicate your home nation association
Paddle England
Paddle Scotland
Canoe Wales
Paddle Northern Ireland
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Contact Address
*
Your answer
Emergency Contact Name and Address
*
Your answer
Emergency Telephone Number
*
Your answer
Relevant qualifications or experience
Your answer
Equipment - Your Height and Weight?
*
Please provide your approximate height and weight. This will help us work the resources required for the course.
Your answer
I have read and agree to the terms and conditions. required.
*
https://wildriver.co.uk/terms-and-conditions
Yes
Invoice Employer
If invoicing an employer please provide the contact name, email and full postal address.
Your answer
Please let us know where you found out about Wild River?
Recommendation
Attended previous course
Internet search
Paddle UK website
Facebook
Instagram
Poster
Spotted Wild River van
Other:
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We are continually looking for ways to improve our service and would welcome your comments.
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