Bookings One-on-One - Surfsup - Learn to surf at Diaz Beach, Mossel Bay

On what date would you like your session to be?*

If weather and tide conditions are not suitable on the day, an alternate date will be arranged with you. WE WILL CONFIRM A TIME WITH YOU.

TIME*

I prefer a time during the morning

I prefer a time during in the afternoon

I'm flexible - give me the best time

When would you like to pay?*

I'll pay now - Let's get all the admin done at the end of this form

I will pay by bank card when I arrive at Surf's Up

I have already paid

Please check the weather and tides first. Surfing is dependent on oceanic and weather conditions, which change on a daily basis, we cannot take bookings for Surf Lessons more than a day in advance.

How many people will be taking lessons?*

The total cost of your session is

Who will be joining us?

Please supply the details of everyone joining us with your booking.

Participant Details (Lessons - Surf Gear Included)*

Name & Surname

Age

Male / Female

Please use the plus icon to add another participant's details.

Contact Person Details

Name*

First Last

Email*

Whatsapp*

We need this to communicate important information regarding booking confirmations, re-scheduling or any other booking related communication.

Emergency Details

Please leave the details to someone we can contact if there is a medical emergency.

Medical Emergency Contact*

Name and Surname Contact Number

Legal Details

Are you of legal age? (Contact Person)*

I am over 18

I am still a minor

Parent / Guardian Name and Surname*

First Last

Social media and website exposure*

Yes! I'm ok with it

NO, Please do not

From time to time we take photos of our participants. May we post photos or video content of you on our social media platforms

Consent & Agreement*

I agree and understand the indemnity

Please note that this indemnity is valid for 1 year from date of signing this form. Children under 18 must have a parent or guardians signature.

I accept the Surf’s Up Mossel Bay (Pty)Ltd, it’s owners, coaches and assistants will take all possible care, but will not be held responsible or liable for any injury or damage, which I/my child may sustain to property or person, during this event I/my child may undertake with the school – irrespective of whether or not such injuries or damages arose as a result of negligence, injury, theft or from any cause whatsoever. I understand the accidents in surfing, such as collision with other surfers or with own board, collision with ocean floor or rocks, contact with ocean creatures as well as other incidents, are possible. I/my child enter into this event at my/his/her own risk with my consent. (Boards including skateboarding at Diaz Beach.)

I agree to indemnify, defend, hold harmless and release from all liability Surf’s Up Surf School instructors, owners, from ALL LIABILITY to my child or myself, my family, heirs, assigns, personal representatives or next of kin for ANY LOSS OR DAMAGE RESULTING FROM PHYSICAL OR MENTAL INJURY, DEATH OR PROPERTY DAMAGE arising from my/my child’s participation in the surfing/ water safety activity.

I FURTHER AGREE THAT:
I / my child am/is in good health and am/is an able swimmer and able to demonstrate lifesaving skills such as treading water & floating.

I agree that if the need arises the surf school can take the necessary emergency medical action and I will be responsible for payment of any charges which arise from these actions.

I further agree to adhere and abide to the rules and regulations of the surf school. I agree that any photographs, video footage taken during this event remains the property of the surf school and may be used for marketing purposes.

By ticking this box /sign this document, I agree that I have read the contents and will abide by the rules and regulations laid out by Surf’s Up Mossel Bay (Pty)Ltd.

Signature (sign with your finger/mouse)*

The total payable amount is

WHEN YOU SUBMIT THIS FORM YOU WILL BE REDIRECTED TO THE PAYMENT PROCESS. PLEASE MAKE SURE THE AMOUNT IS CORRECT BEFORE MAKING PAYMENT - CONTACT US IF YOU HAVE ANY TROUBLE WITH THIS.

REFUNDS & CANCELLATIONS: If your cancellation is at least 24 hours in advance of the class, you will receive a full refund. If your cancellation is less than 24 hours in advance, you will receive a gift voucher to attend a future class to be used within three months of receiving it. We will do our best to accommodate your needs.

Spam security question*

The 'SEND' button will activate on correct answer

Comments

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Bookings – One-on-One Surfing Lessons

Let’s get started

Who will be joining us?

Contact Person Details

Emergency Details

Legal Details