All new surf students must fill out the entire form below in order to schedule a lesson. 

Name *
Name
Birthdate *
Birthdate
For wetsuit sizing.
For wetsuit sizing.
Primary Phone *
Primary Phone
Contact number where we can reach you at the time of the lesson. We cannot call international numbers.
Address *
Address
So you can see pictures of yourself in action!
Someone who will be reachable during your lesson time in case of emergency.
Emergency Contact Phone Number *
Emergency Contact Phone Number
A number that we can call in case of emergency during the lesson. No international numbers.
Each individual needs to fill out their own form. If you are taking the lesson alone, please mark "N/A".
Requested Date *
Requested Date
Alternative Date - 2nd choice date
Alternative Date - 2nd choice date
If you've been given a gift certificate for this lesson, please provide the gift certificate number.
Name of person who gave gift certificate (if applicable)
Name of person who gave gift certificate (if applicable)