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Surf Lessons Hawaii LLC - HI Lifeguard Surf Instructors

75-5909 Ali'i Dr. Kailua-Kona HI 96740

Hawaiian Surf School Liability Waiver

Surf Lessons Hawaii LLC, DBA: Hawaii Lifeguard Surf InstructorsParticipation Liability Waiver

I, the undersigned, acknowledge that surfing is a physically demanding activity with inherent risks. These risks may include, but are not limited to, physical exertion, unpredictable surf conditions, environmental hazards, interactions with other surfers, and risks associated with equipment use.

1. Assumption of Risk

I recognize and accept all inherent risks of surfing, including but not limited to:

  • Drowning or near-drowning incidents
  • Collisions with other surfers, surfboards, or watercraft
  • Injuries caused by surfboards and leashes
  • Encounters with marine life (e.g., jellyfish, Portuguese man-of-war, spiny poisonous urchins, sharks)
  • Rocky coastline, shallow reefs, strong currents, and rip tides
  • Slippery rocks when entering or exiting the water

2. Release of Liability

I voluntarily assume all risks associated with my participation in surf lessons and hereby waive, release, and discharge Surf Lessons Hawaii LLC, DBA: Hawaii Lifeguard Surf Instructors, its owners, instructors, employees, and affiliates from any liability for injuries, losses, or damages incurred during participation, except in cases of gross negligence or willful misconduct.

3. Indemnification Clause

I agree to indemnify and hold harmless Surf Lessons Hawaii LLC, DBA: Hawaii Lifeguard Surf Instructors, from any claims, damages, or legal actions arising from my participation, including claims made by third parties.

4. Medical Fitness & Health Disclosure

I certify that I am in good mental and physical health and have no medical conditions that would prevent safe participation.

  • I hereby disclose any surgical procedures or broken bones I have sustained within the past twelve (12) months and recognize that certain medical conditions may pose an increased risk when engaging in strenuous physical activities.
  • Participants who have undergone major surgical procedures or suffered broken bones within the past twelve (12) months are strictly prohibited from participating due to heightened risks of physical strain, overexertion, and stress-induced complications.
  • By signing this waiver, I confirm that I have NOT had any major surgeries or broken bones within the past twelve (12) months OR that I have received full medical clearance from a licensed physician.
  • Failure to disclose medical history may result in serious health risks and absolves Surf Lessons Hawaii LLC, DBA: Hawaii Lifeguard Surf Instructors, of liability.

5. Emergency Medical Treatment Authorization

In the event of an emergency, I authorize Surf Lessons Hawaii LLC, DBA: Hawaii Lifeguard Surf Instructors and its staff to seek medical treatment on my behalf, understanding that I am responsible for all associated medical costs.

6. Equipment Responsibility

I acknowledge that I am responsible for the proper use of surfboards, wetsuits, and other provided equipment and agree to cover any costs associated with damages due to negligence or misuse.

7. Photography & Media Release

I grant Surf Lessons Hawaii LLC, DBA: Hawaii Lifeguard Surf Instructors permission to use photos or videos taken during lessons for promotional purposes, unless I opt out in writing.

8. Minor Participation & Parental Consent

Participants under 18 years of age must have a parent or legal guardian sign this waiver. If the parent or guardian is not actively participating in the lesson, they must remain on-site for the duration to ensure availability in case of emergency.

9. Cancellation & Refund Policy

I understand and accept Surf Lessons Hawaii LLC, DBA: Hawaii Lifeguard Surf Instructors’ cancellation, rescheduling, and refund policies, including those related to weather conditions.

10. Code of Conduct & Dismissal Rights

I agree to follow all safety instructions, guidelines, and rules provided by my instructors. Surf Lessons Hawaii LLC, DBA: Hawaii Lifeguard Surf Instructors reserves the right to dismiss participants who fail to adhere to safety procedures or pose a risk to themselves or others.

11. Non-Influence Clause

I confirm that I will NOT be under the influence of drugs, alcohol, or medications that impair judgment, coordination, or reaction time. Failure to disclose such conditions may result in immediate removal from the lesson without refund.

12. Acknowledgment & Booking Termination

I understand that full agreement and compliance with this waiver are required for participation. If I fail to disclose relevant medical or safety concerns, Surf Lessons Hawaii LLC, DBA: Hawaii Lifeguard Surf Instructors reserves the right to terminate my booking due to safety risks without refund or compensation.

Final Acknowledgment & Certification

By signing below, I acknowledge that I have read, understood, and voluntarily agree to all terms set forth in this waiver.

July 16, 2025

Surfing Health & Safety Screening

I hereby certify that:

I can swim. I acknowledge that surfing requires a fundamental ability to swim independently. 
I am NOT pregnant. I acknowledge that pregnancy presents additional physical risks in high-impact water activities, and I affirm that I do not fall within this category. 
I am in good mental and physical health, fully capable of engaging in strenuous physical activities without posing a risk to myself or others. I certify that I have no medical conditions that would impair my ability to safely participate.
I have NOT undergone any major surgeries or suffered broken bones within the past twelve (12) months, OR if I have, I have received full medical clearance from a licensed physician confirming my fitness for strenuous physical activity.
I acknowledge that failure to disclose such medical history may result in serious health risks and absolves Surf Lessons Hawaii LLC, DBA: Hawaii Lifeguard Surf Instructors, and its affiliates of any liability resulting from undisclosed medical conditions.
I confirm I will NOT be under the influence of drugs, alcohol, or medications that impair judgment, coordination, or reaction time.
I acknowledge that surfing requires full mental and physical awareness, and failure to disclose any condition affecting my ability to safely participate may result in immediate removal from the lesson without refund.


Scheduled Participation Date:
Date of Surf Class: *
First Surf Student's Name
First Name*
Last Name*
Phone*
First Surf Student's Date of Birth*
Date of Birth
First Surf Student's Signature*
Second Surf Student's Name
First Name*
Last Name*
Surf Student's Date of Birth*
Date of Birth
Third Surf Student's Name
First Name*
Last Name*
Surf Student's Date of Birth*
Date of Birth
Fourth Surf Student's Name
First Name*
Last Name*
Surf Student's Date of Birth*
Date of Birth
Fifth Surf Student's Name
First Name*
Last Name*
Surf Student's Date of Birth*
Date of Birth
Sixth Surf Student's Name
First Name*
Last Name*
Surf Student's Date of Birth*
Date of Birth
Seventh Surf Student's Name
First Name*
Last Name*
Surf Student's Date of Birth*
Date of Birth
Eighth Surf Student's Name
First Name*
Last Name*
Surf Student's Date of Birth*
Date of Birth
Ninth Surf Student's Name
First Name*
Last Name*
Surf Student's Date of Birth*
Date of Birth
Tenth Surf Student's Name
First Name*
Last Name*
Surf Student's Date of Birth*
Date of Birth
Mandatory Participant Screening

Please confirm the following to ensure safe participation:

I can understand and follow instructions given in English.*
Yes
No
I can swim. I possess adequate swimming skills. **Surf lessons require basic swimming proficiency**. *
Yes
No
I am mentally and physically fit, with no restrictions that would prevent me from safely engaging in strenuous water activities.*
Yes
No

If you answered NO to any of the above questions. Please explain. Someone from our staff will contact you directly. There is a strong possibility you may NOT be able to participate in our classes due to safety and health risks.
Health Safety
Are you Pregnant?*
No
Yes
Do you have any medical conditions that may limit or pose any risk to your health or safety in the ocean?*
No
Yes
Do you have any physical or mental disabilities that may limit or pose any risk to your safety in the ocean?*
No
Yes
Have you had any recent head, neck, back, arm, or shoulder injuries, or undergone any major surgeries, including open-heart surgery, within the past twelve (12) months?*
No
Yes

If you answered YES to any of the above questions, please explain. Someone from our staff will contact you directly. There is a strong possibility that you may NOT be able to participate in our classes due to safety and health risks.
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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