Lesson Registration Form Notice! - Please Read! Please only complete this form if you have made a booking with us by Phone, Email or in Person at one of our sites. If you make a booking online a similar form will appear at the time of booking. Thank you! See you soon! Covid-19 Decoration * Do you or any of your party members currently have or had symptoms of the virus in the past three weeks? No Not Sure Yes Participant Name / Booking Name * First Name Last Name Contact Number * Email Number of Participants * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Additional Party Members Please List Names & Ages Date of 1st Booked Session * MM DD YYYY Activity Booked * Surfing Lesson Paddle Boarding Lesson SUP Yoga Yoga Fitness Sports Massage Medical History * Do you or any of your party members have a medical condition we should be aware of? This should include any current or past condition: Past Dislocations, Allergies, Heart Conditions, Diabetes etc. No Yes - Please State Below Medical Notes Please Sign - Medical Declaration * If hereby confirm that the information i have provided above is accurate and i understand that ESKINZO surf school will not be held liable for any incident or injury caused by an existing health condition unless otherwise stated above. I Agree I Disagree Emergency Contact Name * First Name Last Name Contact Number * Photographs & Video * Can we use your picture? We occasionally take photos & video of lessons for our social media & marketing. * Yes No Data Collection * I give permission for ESKINZO surf school to store my medical information until our agreed contract date / booking date has expired. I Agree I Disagree Promotions & Newsletters * Do you wish to be contacted by us regarding occasional relevant promotions, surf trips, lessons etc Phone Email Neither Terms & Conditions * Do you agree to our terms and conditions? Full T&C can be found at the bottom of the website. Yes No Thank you! Hire Agreement Form Notice! - Please Read! Please only complete this form if you have made a booking with us by Phone, Email or in Person at one of our sites. Thank you! See you soon! Name * First Name Last Name Number * Hire Description * Deposit ID * Please make sure the person signing this agreement brings the selected form of ID at the time of collection. Driving License Passport Terms & Conditions * I am aware that i am liable for any costs to replace equipment, lost, stolen or damaged. I Agree Waiver & Release of Liability Agreement * I have Read/Listened & Understood all safety protocols set by Eskinzo Surf School. I Have checked over equipment with a member of the Eskinzo staff + i am satisfied with the condition of the rental equipment. Eskinzo assumes no liability in respect of any personal injury, loss, damage, consequential loss or third party claims which occur through no fault of its own, its employees, officers or agents. I Agree Thank you!
