Booking details for Invoice/Deposit

First name

Last name

Phone

Birthday

Month

Day

Year

Address

Session date and time

Month

Day

Year

Time

HoursMinutes

Number of participants in your group

Please list all participants (first and last name) and their ages (minimum age 8; all under-18s must be accompanied by a participant aged 18+ in the group)

Special requirements or notes

I confirm I have already paid my booking/deposit via invoice.

I confirm all participants are competent swimmers.

I consent to Captain Cook Canoes taking and using photos/videos of our group for marketing purposes.

I acknowledge that I have read and understood the Safety Disclaimer and Hire Conditions and I agree to be bound by its Terms & Conditions. Safety Disclaimer and T&Cs

Signature

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