UCD Canoe Club Alpes Trip 2005

 

Personal Details

 

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We want to be as organised as possible and to have thorough information on everybody as may be required. We have given careful consideration to the details we feel we need to run a safe and succesful trip. If you are unhappy answering any of these question please contact one of the leaders to discuss.

 

All information supplied will be confidential and only used according to:

  1. Phone number, car and boat - used as a contact sheet over in the alps; one sheet given to each car;

  2. General contact information - only used by the leaders to conatct someone prior to the Alps;

  3. Medical information - extremely confidential and only used in the case of an emergency, one copy of this information will be brought to the Alps.

Personal Information

 

Please provide the following personal information:            

Name:

Mobile Phone:

Home Phone:

E-mail:

Date of Birth:

Please advise of any medical conditions (confidential)


Enter your the name of a person to contact in case of emergency


and their relationship to you

and their phone number

 
Travel Information

 

Who is driving your car in the Alps?


How are you travelling


Where are you flying to and from?


Enter the date of your arrival in the Alps
-- dd/mm/yy

Enter the date of your departure
-- dd/mm/yy

 
Kayaking Information

 
How many years have you been kayaking?


What is the maximum grade of river do you feel you're comfortable on?


Brief details of paddling experience and qualifications?


Please give details of any First Aid training you may have


What boat are you going to paddle?


Are you hoping to borrow club gear?

 
Finish