top of page

SURF SCHOOL WALES cic

GIFT CARD
HOME
BOOK ONLINE
FIND US
More

Use tab to navigate through the menu items.

MEDICAL FORM

Every customer must complete this medical form.

First Name

Last Name

Date of Birth

Phone

Email

I declare that the info I’ve provided is accurate & complete

I agree to theterms & conditions

I confim I am able to swim

Do you have any medical conditions

Name of emergency contact

Contact number for emergencies

Date of your lesson

Thanks for submitting!

© 2021 by SURF SCHOOL WALES CIC

bottom of page