Lifeguard/Instructor Booking Form
Please complete this booking form to join our Lifeguard or Surf/SUP Instructor courses
Email *
Full Name *
Address *
Date of Birth *
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/
DD
/
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Mobile Number *
Emergency Contact Details  - Please give their Name, Number & Relationship to you *
SLSGB Membership Number: *
Has a medical professional ever told you not to participate in exercise *
If Yes above please give details
Do you have any injuries or medical conditions we need to be aware of? *
If Yes above please give details
Are you on any medication? *
If Yes above please give details
What course are you attending? *
Required
Digital Signature & Declaration

By checking this box below you are confirming this is your digital signature and declaration for the following:

1. Everything on this form is correct at the time it is completed. 

2. You will make full payment via BACS to complete your booking - Failure to make payment 
will result in your place being cancelled on your chosen course. 

3. You agree to our cancellation policy - Full Refund minimum 28 days prior to course starting
50% Refund minimum 14 days prior to course starting
No refund for cancellations 14 days or less of course starting

4. You are agreeing to participate in this course at your own risk and will follow the instructors guidance at all times.

Further terms and conditions apply and can be found here: www.harlynsurfschool.co.uk/terms
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A copy of your responses will be emailed to the address you provided.
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