Surf Club Registration Form

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Gender

Date of Birth

Date

Name of Guardian

First NameLast Name

Email of Guardian

example@example.com

Phone Number of Guardian

Please enter a valid phone number.Format: (000) 000-0000.

Have you surfed before?

Comfortable in open water?

Swimming ability

Skill Level

Type of membership

Starting Date

Date

Equipment needed? (Board, wetsuit, etc.)

Emergency Contact Name

First NameLast Name

Emergency Contact Phone

Please enter a valid phone number.Format: (000) 000-0000.

Any allergies? Any used medications?

I acknowledge that surfing and related water activities involve inherent risks, including but not limited to injury, drowning, or equipment-related accidents. By participating in activities organized by this surf club, I voluntarily assume all associated risks.

I confirm that I am physically able to participate and have disclosed any relevant medical conditions. I agree to follow all safety instructions provided by instructors and staff.

I hereby release and hold harmless the surf club, its instructors, and affiliates from any liability, claims, or demands arising from my participation, to the fullest extent permitted by law.

By signing below, I confirm that I have read, understood, and agree to this waiver.

Signature of Surfer

If Surfer is a minor, signature of guardian

Surf Club Registration Form

🏄‍♂️ Basic Surfer Info

If Surfer is minor

🌊 Surf Experience

Membership Details

Medical & Safety Info

Liability Waiver