Loading...

This form must be completed by the student prior to commencing the class, if the student is under 16 or unable to read and complete the form it must be done so by a parent, legal guardian or tour director. Some of these questions may be used for market research for Gold Coast Tourism or Griffith University so we really appreciate your time in completing it. 

PLEASE READ THE FOLLOWING CAREFULLY - I will complete this waiver to the best of my knowledge and I am aware that failing to disclose relevant medical information could put at risk the lives of the instructors, fellow class members and myself. I am aware that I am undertaking this activity at my own risk and will NOT hold Get Wet Surf School responsible for any  injury I may sustain whilst on the premises. I am also aware that Get Wet Surf School will be taking my photographs at the end of the lesson. I am also aware that my/my child's image may be used for publicity and social media. If you do not agree to any of these terms, please contact Get Wet at surf@getwetsurf.com. If you do not contact the office, Get Wet has the right to assume you agree to this statement. 

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
information
Where are you from? *
Africa
Asia
Australia
Brazil
Canada
China
England
France
Germany
Hong Kong
Ireland
Korea
Mexico
New Zealand
Norway
Scotland
Singapore
South Africa
South America
Switzerland
United States of America
Wales
Japan
Not listed
Why are you visiting the Gold Coast? *
On holidays
Business trip
Studying here
I am a local resident
Family visit
What is your swimming ability? *
Excellent swimming ability
Moderate swimming ability
Poor swimming ability
Do you have any medical conditions that we need to know about before the session? *
Asthma
Heart condition
Epilepsy
Recent surgery/injury (Please mention to your coach)
Past injury (Please mention to your coach)
Severe allergies (that require medication or an EpiPen)
Not listed - please discuss this with your coach
I do not have any medical conditions
How did you hear about Get Wet Surf School? *
Hotel recommendation
Internet
Personal recommendation from family/friends
Print advertising
Travel group or agency
TripAdvisor
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
information
Where are you from? *
Africa
Asia
Australia
Brazil
Canada
China
England
France
Germany
Hong Kong
Ireland
Korea
Mexico
New Zealand
Norway
Scotland
Singapore
South Africa
South America
Switzerland
United States of America
Wales
Japan
Not listed
Why are you visiting the Gold Coast? *
On holidays
Business trip
Studying here
I am a local resident
Family visit
What is your swimming ability? *
Excellent swimming ability
Moderate swimming ability
Poor swimming ability
Do you have any medical conditions that we need to know about before the session? *
Asthma
Heart condition
Epilepsy
Recent surgery/injury (Please mention to your coach)
Past injury (Please mention to your coach)
Severe allergies (that require medication or an EpiPen)
Not listed - please discuss this with your coach
I do not have any medical conditions
How did you hear about Get Wet Surf School? *
Hotel recommendation
Internet
Personal recommendation from family/friends
Print advertising
Travel group or agency
TripAdvisor
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
information
Where are you from? *
Africa
Asia
Australia
Brazil
Canada
China
England
France
Germany
Hong Kong
Ireland
Korea
Mexico
New Zealand
Norway
Scotland
Singapore
South Africa
South America
Switzerland
United States of America
Wales
Japan
Not listed
Why are you visiting the Gold Coast? *
On holidays
Business trip
Studying here
I am a local resident
Family visit
What is your swimming ability? *
Excellent swimming ability
Moderate swimming ability
Poor swimming ability
Do you have any medical conditions that we need to know about before the session? *
Asthma
Heart condition
Epilepsy
Recent surgery/injury (Please mention to your coach)
Past injury (Please mention to your coach)
Severe allergies (that require medication or an EpiPen)
Not listed - please discuss this with your coach
I do not have any medical conditions
How did you hear about Get Wet Surf School? *
Hotel recommendation
Internet
Personal recommendation from family/friends
Print advertising
Travel group or agency
TripAdvisor
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
information
Where are you from? *
Africa
Asia
Australia
Brazil
Canada
China
England
France
Germany
Hong Kong
Ireland
Korea
Mexico
New Zealand
Norway
Scotland
Singapore
South Africa
South America
Switzerland
United States of America
Wales
Japan
Not listed
Why are you visiting the Gold Coast? *
On holidays
Business trip
Studying here
I am a local resident
Family visit
What is your swimming ability? *
Excellent swimming ability
Moderate swimming ability
Poor swimming ability
Do you have any medical conditions that we need to know about before the session? *
Asthma
Heart condition
Epilepsy
Recent surgery/injury (Please mention to your coach)
Past injury (Please mention to your coach)
Severe allergies (that require medication or an EpiPen)
Not listed - please discuss this with your coach
I do not have any medical conditions
How did you hear about Get Wet Surf School? *
Hotel recommendation
Internet
Personal recommendation from family/friends
Print advertising
Travel group or agency
TripAdvisor
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
information
Where are you from? *
Africa
Asia
Australia
Brazil
Canada
China
England
France
Germany
Hong Kong
Ireland
Korea
Mexico
New Zealand
Norway
Scotland
Singapore
South Africa
South America
Switzerland
United States of America
Wales
Japan
Not listed
Why are you visiting the Gold Coast? *
On holidays
Business trip
Studying here
I am a local resident
Family visit
What is your swimming ability? *
Excellent swimming ability
Moderate swimming ability
Poor swimming ability
Do you have any medical conditions that we need to know about before the session? *
Asthma
Heart condition
Epilepsy
Recent surgery/injury (Please mention to your coach)
Past injury (Please mention to your coach)
Severe allergies (that require medication or an EpiPen)
Not listed - please discuss this with your coach
I do not have any medical conditions
How did you hear about Get Wet Surf School? *
Hotel recommendation
Internet
Personal recommendation from family/friends
Print advertising
Travel group or agency
TripAdvisor
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
information
Where are you from? *
Africa
Asia
Australia
Brazil
Canada
China
England
France
Germany
Hong Kong
Ireland
Korea
Mexico
New Zealand
Norway
Scotland
Singapore
South Africa
South America
Switzerland
United States of America
Wales
Japan
Not listed
Why are you visiting the Gold Coast? *
On holidays
Business trip
Studying here
I am a local resident
Family visit
What is your swimming ability? *
Excellent swimming ability
Moderate swimming ability
Poor swimming ability
Do you have any medical conditions that we need to know about before the session? *
Asthma
Heart condition
Epilepsy
Recent surgery/injury (Please mention to your coach)
Past injury (Please mention to your coach)
Severe allergies (that require medication or an EpiPen)
Not listed - please discuss this with your coach
I do not have any medical conditions
How did you hear about Get Wet Surf School? *
Hotel recommendation
Internet
Personal recommendation from family/friends
Print advertising
Travel group or agency
TripAdvisor
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
information
Where are you from? *
Africa
Asia
Australia
Brazil
Canada
China
England
France
Germany
Hong Kong
Ireland
Korea
Mexico
New Zealand
Norway
Scotland
Singapore
South Africa
South America
Switzerland
United States of America
Wales
Japan
Not listed
Why are you visiting the Gold Coast? *
On holidays
Business trip
Studying here
I am a local resident
Family visit
What is your swimming ability? *
Excellent swimming ability
Moderate swimming ability
Poor swimming ability
Do you have any medical conditions that we need to know about before the session? *
Asthma
Heart condition
Epilepsy
Recent surgery/injury (Please mention to your coach)
Past injury (Please mention to your coach)
Severe allergies (that require medication or an EpiPen)
Not listed - please discuss this with your coach
I do not have any medical conditions
How did you hear about Get Wet Surf School? *
Hotel recommendation
Internet
Personal recommendation from family/friends
Print advertising
Travel group or agency
TripAdvisor
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
information
Where are you from? *
Africa
Asia
Australia
Brazil
Canada
China
England
France
Germany
Hong Kong
Ireland
Korea
Mexico
New Zealand
Norway
Scotland
Singapore
South Africa
South America
Switzerland
United States of America
Wales
Japan
Not listed
Why are you visiting the Gold Coast? *
On holidays
Business trip
Studying here
I am a local resident
Family visit
What is your swimming ability? *
Excellent swimming ability
Moderate swimming ability
Poor swimming ability
Do you have any medical conditions that we need to know about before the session? *
Asthma
Heart condition
Epilepsy
Recent surgery/injury (Please mention to your coach)
Past injury (Please mention to your coach)
Severe allergies (that require medication or an EpiPen)
Not listed - please discuss this with your coach
I do not have any medical conditions
How did you hear about Get Wet Surf School? *
Hotel recommendation
Internet
Personal recommendation from family/friends
Print advertising
Travel group or agency
TripAdvisor
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
information
Where are you from? *
Africa
Asia
Australia
Brazil
Canada
China
England
France
Germany
Hong Kong
Ireland
Korea
Mexico
New Zealand
Norway
Scotland
Singapore
South Africa
South America
Switzerland
United States of America
Wales
Japan
Not listed
Why are you visiting the Gold Coast? *
On holidays
Business trip
Studying here
I am a local resident
Family visit
What is your swimming ability? *
Excellent swimming ability
Moderate swimming ability
Poor swimming ability
Do you have any medical conditions that we need to know about before the session? *
Asthma
Heart condition
Epilepsy
Recent surgery/injury (Please mention to your coach)
Past injury (Please mention to your coach)
Severe allergies (that require medication or an EpiPen)
Not listed - please discuss this with your coach
I do not have any medical conditions
How did you hear about Get Wet Surf School? *
Hotel recommendation
Internet
Personal recommendation from family/friends
Print advertising
Travel group or agency
TripAdvisor
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
information
Where are you from? *
Africa
Asia
Australia
Brazil
Canada
China
England
France
Germany
Hong Kong
Ireland
Korea
Mexico
New Zealand
Norway
Scotland
Singapore
South Africa
South America
Switzerland
United States of America
Wales
Japan
Not listed
Why are you visiting the Gold Coast? *
On holidays
Business trip
Studying here
I am a local resident
Family visit
What is your swimming ability? *
Excellent swimming ability
Moderate swimming ability
Poor swimming ability
Do you have any medical conditions that we need to know about before the session? *
Asthma
Heart condition
Epilepsy
Recent surgery/injury (Please mention to your coach)
Past injury (Please mention to your coach)
Severe allergies (that require medication or an EpiPen)
Not listed - please discuss this with your coach
I do not have any medical conditions
How did you hear about Get Wet Surf School? *
Hotel recommendation
Internet
Personal recommendation from family/friends
Print advertising
Travel group or agency
TripAdvisor
Parent or Guardian's Email Address
Email
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
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*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
information
Where are you from? *
Africa
Asia
Australia
Brazil
Canada
China
England
France
Germany
Hong Kong
Ireland
Korea
Mexico
New Zealand
Norway
Scotland
Singapore
South Africa
South America
Switzerland
United States of America
Wales
Japan
Not listed
Why are you visiting the Gold Coast? *
On holidays
Business trip
Studying here
I am a local resident
Family visit
What is your swimming ability? *
Excellent swimming ability
Moderate swimming ability
Poor swimming ability
Do you have any medical conditions that we need to know about before the session? *
Asthma
Heart condition
Epilepsy
Recent surgery/injury (Please mention to your coach)
Past injury (Please mention to your coach)
Severe allergies (that require medication or an EpiPen)
Not listed - please discuss this with your coach
I do not have any medical conditions
How did you hear about Get Wet Surf School? *
Hotel recommendation
Internet
Personal recommendation from family/friends
Print advertising
Travel group or agency
TripAdvisor
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!