PRSK Medical & Dietary Information
In order to ensure complete safety on our tours, Powell River Sea Kayak requires participants complete the following medical & dietary information form. This information will help the guides and cooks 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.
Each individual touring with Powell River Sea Kayak (including children) needs to have this form filled out individually.
Please select your multi-day trip from the drop down box.
Have you ever had, or are you prone to any of the following?
If you answered Yes to any of the above, please take a moment to provide details so we can better manage your safety during the tour.
Please note, we offer a gluten free menu for a 5% surcharge. Please only select 'Yes' if you would like the gluten free menu.
If answered 'Yes' above'. Note we are not able to accommodate celiac diets on camping tours.
Please note, we offer a dairy free menu for a 5% surcharge. Please only select 'Yes' if you would like the dairy free menu.
Other Specific Intolerances
A 5% surcharge per person, per item will be added to your reservation for any changes to our regular menu as a result of checking any boxes on this list (as mentioned on the Booking Form and as per the Rates & Policies page on our website).
I acknowledge that I have completed this medical form accurately, and truthfully, and to the best of my knowledge. I understand that any injury or illness that is aggravated by, or is a result of my participation in a sea kayak tour, is solely my responsibility. I understand that withholding information may contribute to injury or illness complications, and possibly compromise the care provided in the event of an emergency. I understand that it is my responsibility to inform Powell River Sea Kayak Ltd. before my tour begins, of any changes to the medical information that I have submitted.
Click to Sign
Parents must sign for their legal guardians.