Please note: this is not a booking enquiry form. To be completed only after your lessons have been confirmed. To enquire about a lesson email info@georgessurfschool.com.

Name of Booking Contact/Surfer

First Name

Last Name

Email Address

Date of Birth

Name, Date of Birth (DD/MM/YY) and Email Address of Additional Surfers

Mobile Phone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Occupation

Emergency Contact Number

Prior Surfing Experience

Swimming Ability

I can swim the following distance unaided

Does anyone included on this form suffer from any medical conditions / allergies?

This includes any allergies to stings, asthma, heart problems, diabetes, epilepsy and pregnancy.

If yes, please give details

How did you hear about us?

I confirm that everyone surfing

Parent/Guardian to sign if under 18 years of age

Can Swim

Is physically fit to take part in the activity

Will comply with the safety regulations

Conditions of Booking

All participants must follow the instructor's safety directions and decisions. GSS operates in all weather conditions unless it is deemed unsuitable or unsafe by the instructor. GSS accepts no responsibility for personal injury or loss of property and recommends you have your own insurance. A refund is possible in case of accident or illness only (upon proof of medical consultation). Your privacy is paramount to GSS. We will not forward your personal details to a third party wihout your express permission. GSS will enter your details on our database to contact you in the future about GSS related products only. We take video and photos as part of our coaching, we may also use these for marketing purposes. By clicking "Submit" you agree to these Conditions of Booking. If you do not wish to receive marketing communications from us or have videos or photos of you used for marketing purposes please let us know by emailing us on info@georgessurfschool.com