Please complete this form before payment is made.

Rental Participant Questionnaire

This form is to be completed for each rental prior to departure and to the satisfaction of Coastal Adventures/Rod Staples before rental approval is granted. Where necessary a practical demonstration of skill may be required. This is to be completed in association with Coastal Adventures/Rod Staples Acceptance of Risk.
  • Please detail your previous rafting and/or kayaking experience: (include conditions experienced):
  • Are you able to rescue (Provide brief description of method of rescue) your self: -
  • Trip Plan
  • Rental Disclaimer On behalf of the rental party I agree that we possess the necessary skills and experience stated as per the Rental General Conditions and that the above information is true and accurate to the best of my knowledge.

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