LAS - Kayak Waiver

I. PARTICIPANT INFORMATION:

First Name:

Last Name:

Telephone:

E-Mail:

Drivers' License #:

Zip:

Are you a First Time Kayaker: Yes No

Would you like information about our Kayak Adventure Club? Yes No

I AM RENTING THE FOLLOWING EQUIPMENT:

Watercraft:

Paddles:

Personal Flotation Device:

Party Size: