Medical Information | Powell River Sea Kayak Ltd.

 

In order to ensure complete safety on our tours, Powell River Sea Kayak requires participants complete the following medical form. This information will help the guides properly prepare for the tour. Although Powell River Sea Kayak guides have training and up-to-date certification in Advanced Wilderness First-Aid, Powell River Sea Kayak Ltd. assumes no responsibility for medical care. Information on this form is completely confidential.

Trip Information

Personal Information

Address

Contact

Emergency Contact

Medical Conditions

Have you ever had, or are you prone to any of the following?

Allergies

Medication Information

Medication 1 Remove

Add Another

Tetanus Inoculation

Note: Tetanus boosters are good for 10 years. A current one is mandatory for participation on all our multi-day tours. For more information on tetanus, please click here

Diet Information

Fitness Information

General Information

Acknowledgement