PUPIL FORM

Martin Connolly, Discovery Surf School
4 Belle Vue Rise, Hooe, Plymouth, Devon, PL9 9QD
Email: martin@discoverysurf.com
Web: www.discoverysurf.com
Tel: 07813 639 622

Please list your course date & start times....

NAME...

ADDRESS...

Tel...

Age (on day of lesson)...

CONTACT NUMBER(parent,guardian,spouse,etc)..

ANY MEDICAL CONDITION...
(e.g. heart problem, allergy’s (Weaver fish, bee stings), epilepsy,asthma,etc)

Where did you find out about Discovery Surf School ?...

Please tick here .....if you do not want the photos/video of you from the lesson to be displayed on www.discoverysurf.com or used for Discovery Surf School advertising.

I have read and understand Discovery Surf Schools terms and conditions policy. I am able to swim 25metres.

SIGNED……………………………………………......Name..........................................Date.....................
PARENT OR GUARDIAN TO SIGN IF UNDER 18 YEARS OF AGE. Please return forms or bring along on the day of the 1st lesson.