Kids Club Enrolment Form

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PLEASE NOTE THE FOLLOWING:

- You must be able to swim 50 metres in a swimming pool to participate in this activity.
- If anything should happen to the instructor during the lesson, please return to the waters edge, and if necessary, inform the lifeguards on duty. Do not attempt to rescue or put yourself in danger.
- Our aim is to provide you with high quality and safe surf tuition. Your safety is our priority, so please listen and follow your instructors advice at all times.

Email *

Child's Name *

Child's date of birth *

YYYY

Mobile Number *

Home Town & Postcode *

Emergency Contact (Name & Number) *

Does the child have any health issues that may affect them within a surf lesson? *

Yes

If you answered yes, please give us details below: (Please bring this to the attention of your instructor. All medical information will be treated in confidence, and will not be disclosed to anyone other than Kingsurf Surf School. Conditions that should be disclosed include: heart conditions, epilepsy, allergies, asthma, diabetes, medication being taken and any other medical condition likely to interfere during participation in a surf lesson)

I can confirm that my child is over the age of 7.

Required

I can confirm that my child can swim over 50m in a swimming pool

Required

I understand that Kingsurf Surf School, whilst taking all responsible care, cannot be held responsible for any loss or damage to clients personal property/valuables. I confirm that I have read and complied with the above, and communicated it to everyone in my party

Required

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