Phoenix Kayak Club 2025 Beginners Course 1 – Tuesdays June 3rd, 10th, 17th, 24th and Saturday June 28th "*" indicates required fields Course Type*Adult 18+JuniorCourse Date*Course 1 – Tuesday June 3rd, 10th, 17th, 24th and Saturday June 28th Courses run on 4 Tuesdays with the last session for on the Saturday after. Please make note of all dates, course times are 18:30 to 21:00 & Saturday from 10:30 to 13:30Total First Name*Surname*Full Address*Eircode*Phone Number*(Parent/Guardians Mobile if under 18)Email Address* Date of Birth* DD slash MM slash YYYY Next of Kin Name:*Next of Kin Contact Number:*Medical Conditions, Disabilities or Additional Needs*Have you taken part in this or a similar level 2 Kayaking course previously?*YesNoIf you answered YES to above, when and where was this course?Can you swim?*Select one option from the menu.Yes, I can swim and comfortable in the water.Yes, I can swim but a little nervous in the water.I cannot swimCan you tread water?*Select one option from the menu.Yes, I can tread water.I'm a little nervous in the water.I cannot swimPhoto & Video Consent*I will allow my child to be included in photos and videos of on the water activities.I would prefer if my child is not included in photos and videos of club activities.Phoenix Kayak Club regularly posts photos and videos of on the water activities to our website and on social media. We would request you select one of the options below.Would you like to add any additonal information we should be aware of? Terms & Conditions 1*1. Terms and Conditions: I accept that Canoeing & Kayaking is an adventurous sport that involves risks, dangers and hazards that may result in personal injury or death. I accept these risks and agree to be responsible for my own actions and involvement. I accept that Phoenix Kayak Club, its Officers, Instructors & Members cannot be held liable for any personal or financial injury caused to me, or caused to others, or their property by me, due to my participation or involvement in this sport. I confirm that I can swim at least twenty-five meters and am proficient and comfortable treading water. I accept Terms & Condition of the club and all rules Terms & Conditions 2*Additional Needs: I do not suffer from any disability or medical condition that may render me unfit for strenuous exercise. I agree to abide by the Club constitution, terms, conditions and policies introduced by the executive committee for the betterment of the Club. I accept Terms & Condition of the club and all rules Terms & Conditions 3*Cancellations & Refunds: 1) In the event that attendees can no longer attend the course, they must notify Phoenix Kayak Club as soon as possible by email (learntokayak@pkc.ie). 2) The cancellation will only be effective from the day PKC receive written confirmation from the attendee. 3) Refunds will be issued according to the following schedule and based on the booked activity date. Note that administration fees are, unfortunately, not refundable. 3a) More than 30 days before course commences: full refund. 3b) Between 15 and 30 days before course commences: 50% refund. 3d) Less than 15 days before course commences: no refund. 4) No-shows and late arrivals are not eligible for a refund. 5) The committee has the discretion to offer refunds on exceptional circumstances and on a case-by-case basis. 6) Full refund policy will be distributed by email to all who enrol on a PKC Learn to Kayak course. I accept Terms & Condition of the club and all rules Terms & Conditions 4*Declaration: The information I have provided about my medical history is accurate to the best of my knowledge. I agree to accept responsibility for omissions regarding my failure to disclose any existing or past health condition. I furthermore agree to abide by such regulations as Phoenix Kayaking club (representing Canoeing Ireland) may consider advisable in order to ensure the safety of course participants. In consideration of and through my involvement in a Canoeing Ireland training course, I hereby acknowledge and agree to release Canoeing Ireland and its agents from any and all liabilities, which might result from my involvement in the training course, indicated above. I have read and agree to the above declaration. I accept Terms & Condition of the club and all rules A copy of your responses will be emailed to the address you provided.Total Credit Card*