Surfer Registration and Release
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Email *
Name of Surfer
Emergency Contact and phone Number
Address of Surfer (Address, City, State, Zip)
Age of Surfer *
Medical Conditions?
Height
Weight
Shirt Size
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Surfing Experience? *
I agree to assume all risks to participation in surfing related activities associated with Brando’s Surf School, LLC. I hereby grant permission for myself or my child to attend Brando’s Surf School, LLC and participate in its activities. I hereby release Brando’s Surf School, LLC from any and all liabilities, claims, actions, damages, costs and/or expenses, arising from or in any way connected with my participation in all surfing related activities conducted by Brando’s School, LLC. I hereby agree that Brando’s Surf School, LLC, its owners, officers and instructors, are not in any capacity personally responsible or liable for any injuries or damage resulting from my participation in any Brando’s Surf School, LLC programs. I fully understand and acknowledge that surfing, skateboarding, body boarding, skim boarding, Indoboarding and crossing A1A are inherently dangerous activities. I acknowledge and assume any and all risks associated with the presence of any and all sea life that may be in the ocean or on the beach. *
Required
I hereby give my consent and approval Right to Photograph to Brando’s Surf School, LLC that they shall have the right, without obtaining my further approval, to photograph, take motion pictures of, televise, or reproduce in any manner or through any media, images of myself, my child, and my legal guardians. Brando’s Surf School, LLC shall have the right to display, use, sell or license any such pictures or other reproductions for any purposes, commercial or otherwise, without monetary compensation to myself, my child or my legal guardian. *
I hereby authorize any physician or lifeguards selected by Brando’s Surf School, LLC personnel to order and conduct medical or surgical procedures deemed necessary and authorize any Brando’s Surf School, LLC personnel to conduct any minor medical First Aid that may be required for my child, myself or my legal guardian for myself, my child or my legal guardian in an emergency situation. I understand that I will be responsible for all hospital, laboratory and doctor fees.
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I verify that I am in good health and am fully capable of participating in any and all strenuous activities associated with any Brando’s Surf School, LLC activities. I fully understand that each participant must be a competent swimmer and acknowledge that I am competent swimmer. *
I as the parent or legal guardian give my permission for my child or Ward to participate in Brando’s Surf School, LLC activities. I do understand andacknowledge the above stated risks associated with my child or Ward’s participation in surfing related activities with the Brando’s Surf School, LLC. *
Parent or Legal Guardian Signature
Date
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By checking the Box below, I agree, I agree to assume all risks to participation in surfing related activities associated with Brando’s Surf School, LLC. and have read and understand all sections above. *
Required
Students’ Signature *
Students’ Signature *
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