kayak camping client information form
****ONE FORM PER GUEST, PLEASE.****
Trip Start Date:
2011 Trip Name:
Full Name:
Address:
City:
State:
Country:
ZIP Code:
Home Phone:
Cell Phone:
E-mail:
When is the best time to contact you by phone?
Personal/Medical Information
Sunny Cove Sea Kayaking Guides are trained in wilderness emergency first-aid. Guides are equipped with basic first-aid equipment and a marine radio. The areas we explore are remote, and access to medical assistance can be extremely limited. Please carry double amounts of all appropriate personal medical supplies and medications you may need should the trip be extended due to unforeseen events. Please inform your guide(s) of any medical concerns you may have prior to this trips departure. Any information you provide will be held in confidence.
Age:
Male
Female
Do you have, or have you ever experienced any of the following?
Diabetes: Yes
No
Type:
Medication:
Asthma: Yes
No
Triggers:
Medication:
Heart Problems:
Yes
No
Medication:
Seizures:
Yes
Anaphylactic Reaction:
No
Please list any additional information:
If you are taking medications for any of these conditions please consult your physician to discuss whether kaing is an appropriate activity. usage of these medications does not necessarily preclude participation in this activity.
Allergies:
Physical Limitations:
Emergency Contact Information
Contact name:
Contact Phone:
Contact name:
Contact Phone:
Physician to be contacted:
Physician Phone:
Medical Insurance:
Phone:
Policy #:
Gear/Equipment Information
Sunny Cove provides rubber boots, spray skirts, pogies, dry bags and personal flotation devices for each guest. We recommend our guests dress in layers for warmth. In addition, waterproof/rubber jackets and pants are highly recommended as rain or splashing may affect your comfort level. Do not wear cotton or denim layers as these materials do not insulate once they have become wet. Sunny Cove does not cancel trips solely due to rain or inclement weather unless conditions jeopardize the safety of our clients and staff. Our equipment fits paddlers up to 6'4" or 250Lb or 44" waist.
Height:
ft
in Weight:
lbs
Personal Flotation Device Size: SM/MD
LG/XL
Shoe Size:
Men's
Women's
Do you need to reserve a Sunny Cove sleeping bag?
Yes
No
If no, what is the make and model of your bag?
Do you need to reserve a Sunny Cove tent? Yes
No
If no, what is the make and model of your tent?
If you are sharing your tent, who will be your tent mate?
Do you have any previous kayaking experience? When/Where?
Do you have any previous camping experience? When/Where?
Food Preferences
Do you have any specific dietary allergies, needs or restrictions? We will do our best to accommodate dietary needs, however we may not be able to accommodate strict, extensive dietary concerns.
Are there any foods you can not, will not or do not like to eat?
Are there any
foods you love to eat?
General Information
What would your ideal trip include?
When will you arrive and where are you staying before your trip?*
When will you depart and where are you staying after your trip?*
*We highly encourage giving yourself at least one day cushion before and after your trip. Unforeseen circumstances and/or weather may alter departure and arrival
times/dates.
Do you have any questions or concerns regarding your trip? Our guides will contact you approximately three weeks prior to your departure to discuss any needs, questions or concerns.
Cancellation Policy
All kayak/camping tours require a 50% deposit at the time of booking, with the balance due 30 days prior to the trip. All trip cancellations, with the exception of those made by Sunny Cove, are subject to a $100 per booking administrative fee. The remainder of the cost is refundable up to 30 days prior to the departure date. Although we rarely cancel trips we reserve the right to cancel a trip for any reason which may make the trip inadvisable. Cancellations made due to weather may be rescheduled or refunded. Trips may be delayed or trip routes may be altered by weather without any price adjustment or refund. Sunny Cove does not cancel tours solely on account of rain. Weather cancellations will be left to our discretion based upon field experience.
I have read and understood the cancellation policy.
The information contained within this form is accurate to the best of my knowledge.
|