Corringle walk, talk and paddle!

Thanks for registering your attendance for our Corringle walk, talk and paddle. Can you please take a few moments to fill out the sections below so that we can cater to everybody's needs.

Our adventure will begin next to the public carpark at the Corringle Foreshore Reserve and we ask that you arrive for a 10.30am SHARP start. After a short welcome, we will conduct a short safety briefing and then split into two groups, one to paddle and the other to explore the Reserve by foot. Each will last approximately an hour before we swap activities and finish off with a picnic lunch. The paddle is suitable for people with no prior paddling experience, but participants need to be reasonably fit and agile to enter the canoes or rafts and complete the approx 2km trip as well as a 2km walk. A good sense of adventure and a set of dry clothes left in your car will also go a long way.

Please note that the minimum age is 12 years and we ask that each child under 16 is accompanied by an adult.

A separate registration is required for all participants.

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* 1. Please enter your first name and last name:

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* 2. Please enter your contact details below.

Contact phone number:

Residential Address:

Email address:

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* 3. Please contact details in case of an emergency below.

Emergency contact:

Emergency contact phone number:

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* 4. Age:

Under 16 years old

17-50 years old

51-70 years old

71+ years old

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* 5. Is there any information about yourself (e.g. medical or physical concerns about this event, medications you are taking, etc) that we need to be aware of or that would limit your full participation in this event?

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* 6. I have downloaded and read the waiver form and will bring a signed copy on the day. *A waiver form MUST be completed before boarding the bus

Yes

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* 7. I have downloaded the list of personal clothing and equipment items that I need to be aware of/bring.

Yes

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* 8. Please advise of any dietary requirements (vegetarian, gluten free, etc?). If no special requirements, please enter NONE

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* 9. Photographs and/or video footage may be taken of this event for publications. Do you consent to your name and image being used by the East Gippsland CMA for the purposes of marketing (annual report, brochure, web site, etc.) or media (press releases, photographs, etc.)?

Yes