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Camp Registration

Release

In consideration of the acceptance of my offer to participate in lessons/camps at the Surf Happens Surf School, I have read, understood, approved and agree to the following terms and conditions:

A.  I accept that the sport of surfing carries with it some degree of risk both to the person and property. Knowing the risk involved, I still wish to register for lessons with the Surf Happens Surf School and so expressly agree to assume the risk of injury or damage while participating in this activity.

B.  I accept that the sport of surfing carries with it some degree of risk both to the person and property. Knowing the risk involved, I still wish to register for lessons with the Surf Happens Surf School and so expressly agree to assume the risk of injury or damage while participating in this activity.

C.  I release, waive and hold harmless Surf Happens Surf School, its officers, agents and/or employees from all claims, losses, damages or expenses during or in conjunction with my participation in Surf Happens Surf School, including any claims for damage caused by the negligence of Surf Happens Surf School, its officers, sponsors (Hurley Inc., Channel Islands Surfboards), agents and/or employees, together with any cost including legal fees that may be incurred as a result of any such claims, losses, damages or expenses whether valid or not.

D. I also indemnify the Surf Happens Surf School, its officers, sponsors (Hurley Inc., Channel Islands Surfboards), agents and/or its employees against all claims losses damages, expenses or claim that any one or more of their executors, administrators, heirs, next of kin, successors or assignees may have and against any costs including legal fees that may be incurred as a result of any such claims, losses damages or expenses whether valid or not.

E.  If I am not a resident of California, I declare that I will not avoid Conditions (B) or (C) by commencing any legal action in another country.

F.  I declare and confirm that I am physically fit and have no conditions or injury that could be affected by this activity (as previously stated). I hereby consent to receive medical treatment which may be deemed necessary by Surf Happens Surf School in the case of injury, accident or illness during the course of undertaking a surfing lesson and also agree to indemnify Surf Happens Surf School in the respect of such medical treatment.

G.  I accept responsibility for the equipment, including surfboard, helmet and rash shirt in which the Surf Happens Surf School has allocated to my name. I hereby agree to pay for all repairs or replacement in such case of negligence.

H.  I agree to waiver all responsibility and medical insurance coverage from the Surf Happens Surf School when refusing to wear the supplied helmet.

I.  I agree that any images, films, sound or other recording of my surfing lessons will not be used in any promotion or advertising without the prior consent of Surf Happens Surf School. I also agree the company itself may use such recordings as it deems fit without any prior consent. 

J.  I agree that this agreement shall be governed in all respect by and in accordance with the laws of California

Date Signed: November 16, 2019

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Swimming Ability:*

Height: *

Weight: *

T-shirt Size:

Youth
Adult

Please provide details of all known allergies, mediacl conditions, special needs (diabetes, epileps y, asthma, etc) If none, please write "none":

Camp Week(s)/Day(s): *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Swimming Ability:*

Height: *

Weight: *

T-shirt Size:

Youth
Adult

Please provide details of all known allergies, mediacl conditions, special needs (diabetes, epileps y, asthma, etc) If none, please write "none":

Camp Week(s)/Day(s): *
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Swimming Ability:*

Height: *

Weight: *

T-shirt Size:

Youth
Adult

Please provide details of all known allergies, mediacl conditions, special needs (diabetes, epileps y, asthma, etc) If none, please write "none":

Camp Week(s)/Day(s): *
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Swimming Ability:*

Height: *

Weight: *

T-shirt Size:

Youth
Adult

Please provide details of all known allergies, mediacl conditions, special needs (diabetes, epileps y, asthma, etc) If none, please write "none":

Camp Week(s)/Day(s): *
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Swimming Ability:*

Height: *

Weight: *

T-shirt Size:

Youth
Adult

Please provide details of all known allergies, mediacl conditions, special needs (diabetes, epileps y, asthma, etc) If none, please write "none":

Camp Week(s)/Day(s): *
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Swimming Ability:*

Height: *

Weight: *

T-shirt Size:

Youth
Adult

Please provide details of all known allergies, mediacl conditions, special needs (diabetes, epileps y, asthma, etc) If none, please write "none":

Camp Week(s)/Day(s): *
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Swimming Ability:*

Height: *

Weight: *

T-shirt Size:

Youth
Adult

Please provide details of all known allergies, mediacl conditions, special needs (diabetes, epileps y, asthma, etc) If none, please write "none":

Camp Week(s)/Day(s): *
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Swimming Ability:*

Height: *

Weight: *

T-shirt Size:

Youth
Adult

Please provide details of all known allergies, mediacl conditions, special needs (diabetes, epileps y, asthma, etc) If none, please write "none":

Camp Week(s)/Day(s): *
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Swimming Ability:*

Height: *

Weight: *

T-shirt Size:

Youth
Adult

Please provide details of all known allergies, mediacl conditions, special needs (diabetes, epileps y, asthma, etc) If none, please write "none":

Camp Week(s)/Day(s): *
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Swimming Ability:*

Height: *

Weight: *

T-shirt Size:

Youth
Adult

Please provide details of all known allergies, mediacl conditions, special needs (diabetes, epileps y, asthma, etc) If none, please write "none":

Camp Week(s)/Day(s): *
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact *

Phone *

Relation *

Emergency Contact

Phone

Relation
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.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Swimming Ability:*

Height: *

Weight: *

T-shirt Size:

Youth
Adult

Please provide details of all known allergies, mediacl conditions, special needs (diabetes, epileps y, asthma, etc) If none, please write "none":

Camp Week(s)/Day(s): *
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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