STUDENT PERMISSION FORM and Stand Up Paddleboard Activities | Manly Centre NSW Hire & Drive License Numbers HD 0100 & HD 0399 | NSW RMS Aquatic License Number AQL34636

Dear parent or caregiver,

Students will be partaking in Kayaking and/or Standup activities with Manly Kayak Centre. Sessions will depart from Manly Kayak Centre, Manly Wharf, Manly, NSW 2095.

Please detach and return to Manly Kayak Centre prior to activity start date ------✂------✂------✂------

Water activities - response

Kayaking and Stand Up Paddleboarding will take place in Manly Cove and North Harbour. Manly Kayak Centre will provide the following flotation devices: - PFDs will be worn at all times during Kayaking activities - PFDs are available on request for Stand Up Paddleboarding activities A PFD is required for my child whilst participating in Stand Up Paddleboard activities: (please tick one)  Yes  No

Swimming ability - response

In relation to the proposed water activities, I confirm that my child is able to swim 200m in open waters: (please tick one)  Yes  No

I do / do not consent to ______participating in Kayaking and/or Stand up Paddleboarding with Manly Kayak Centre. I acknowledge and have been warned that these recreational activities involve risk and there are inherent dangers including the risk of bodily injury surrounding the water sports. I agree to allow he/she to kayak and/or stand up paddleboard under Manly Kayak Centre staff instruction whilst on and off the water, for the duration of the school/group’s time at Manly Kayak Centre. I confirm that he/she meets requirement outlined above and does not have any medical conditions that may impede on his/her kayaking ability. I release and discharge Manly Kayak Centre and its officers, agents and employees and related entities (collectively “the MKC Released Entities”), from all liability, claims, demands, costs and causes of action of any kind (including any negligence) relating to personal injury, accident or illnesses and property damage, that my child or I have now or may in the future have against the MKC Released Entities arising from, or in any way connected with, Water Activities. This release does not apply to significant personal injury or death caused by the MKC Released Entities’ “reckless conduct” as defined in the Competition and Consumer Act 2010 (Cth). I understand that my child will receive medical treatment in the case of an emergency.

Signature Date

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