Child's Full Name
*
Child's Date of birth
*
Child's Age
*
Child's Gender
*
Swimming Level
*
Surf Package
*
What school are you coming from?
*
Kit Size
*
Parent's First Name
*
Parent's Last Name
*
Relationship to the Child
*
Phone
*
Email
*
WhatsApp Number
*
Emergency Contact Name & Number
*
Does your child have any medical conditions, allergies, or special needs that we should be aware of?
*
Is your child currently taking any medications? If yes, please specify.
*
Any previous injuries or conditions that could affect participation in water activities?
*
Please read our full
Terms and Condition
before submitting this form.
Terms and Conditions
*
I have read, understood, and agree to the Waiver and to the Terms and Condition of The Surfing Week Academy.
By signing this, I confirm that all information provided is accurate and I agree to the Terms and Conditions of The Surfing Week Academy.
*
Clear
Submit
