Rules & Regulations

 

TEL/FAX: 23584326 MOBILE:94185159

 How to Book :

Complete the following and submit or print and fax to 23584326.

 How to Pay :

 

Cash, cheque made out to CHINA COAST and posted to 65 Sheung Sze Wan Road Clearwater Bay or transfer to 808-078448- 838 (please email ref.no.to info@chinacoastsurf.com )
*= Required Field.

Name :

 *

Age :

 *

Address :

 *

Email :

 *

Telephone :

*

Level of Surfing Ability :

 *

Can you swim 50m in deep water :

Yes No *

Can you tread water for 2 minutes :

Yes No *

Surf Package :

Package 1 Package 2 Package 3 Package 4 Corp. *

Number in Party :

 *

Course Date :

 *

Amount Paid :

*

Medical Details Any illness or allergy :

Yes No *
If YES, give details below.

Medication :

General Comments :

Send me more information :

Can we email you promotional material ?

Yes No

How did you find out about us ?

Word of mouth Print advertising Web Other
If Other, please detail :
INDEMNITY DECLARATION:
I agree to abide by the following conditions:
(a) I acknowledge that my child/I will be exposed to all normal risks associated with participation in this course;
(b) I agree that I will indemnify China Coast Surf School, and agents against all claims, demands, actions and liabilities arising from my childs/my participation in the course; and
(c) I understand that no refunds will be given unless the course is cancelled due to unsuitable weather.

Signature of Applicant

Signature of Parent/Guardian if under 18 years


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