Surf Kids – Register Here Name* First Last Date of Birth* School*Address* Street Address Address Line 2 City ZIP / Postal Code PhoneMobile*Email* NewsletterWe need your email to confirm your registration but we also send out an occasional newsletter with extra hints and tips, specials offers and updates. Yes. Add me to your mailing listEmergency Contact Person*Emergency Phone*Please list any medical conditions our instrcutors need to be aware ofe.g. asthma, allergies, injuriesSwimming Ability*Please let us know your swimming ability. You can still participate if you can't swim 50 m but we need to be aware of that.I CAN swim 50mI CAN'T swim 50mBookingWhen booking for five lessons you do not need to come every consecutive day but you do need to book to allow us to best manage class numbers. Your five lessons will remain valid until 1/5/18.We require at least 36 hrs notice if you wish to change your booking.Sundays (10am)One lesson $30. Five lessons $135. 29 Oct 5 Nov 12 Nov 19 Nov (Show w/end) 26 Nov 3 Dec 10 Dec 17 Dec 24 Dec 28 Jan 4 Feb 11 Feb 18 Feb and continuesOctober Holidays (10am) 2 Oct 4 Oct 6 Oct 9 Oct 10 Oct 11 Oct 12 Oct 13 OctDecember Holidays (10am) 18 Dec 19 Dec 20 Dec 21 Dec 22 Dec 27 Dec 28 Dec 29 Dec 30 Dec 31 DecJanuary Holidays (10am) 8 Jan 9 Jan 10 Jan 11Jan 12 Jan 15 Jan 16 Jan 17 Jan 18 Jan 19 Jan 22 Jan 23 Jan 24 Jan 25 Jan 26 JanPayment*Payment. $30 per class or $135 for five.Cheques to Professional Surf Coaching Ltd. Bank acc 03 1599 0101039 00. Upon submitting you'll be directed to payment options.cash / chequeinternet bankingcredit card via pay palgift voucherDisclaimerThe participant accepts that the sport of Surfing and Bodyboarding contain an element of risk. The participant accepts that in the event of injury or death Professional Surf Coaching Ltd and its instructors will not be held liable. The participant agrees to follow all directions given by the instructors. Professional Surf Coaching Ltd accepts no responsibility for theft or damage to property belonging to the participantView our Terms & Conditions →Do you accept the above disclaimer and agree to our Terms and Conditions?* YesComments This iframe contains the logic required to handle Ajax powered Gravity Forms.