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Aloha Surfing School

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Parents Registration

 

PARENTS, THERE ARE TWO WAYS TO SIGN UP:

FORM MUST BE FILLED OUT INDIVIDUALLY PER CHILD FOR STEP #1 OR STEP #2.

#1. FILL OUT THIS FORM AND PLEASE CHECK SAVE AT BOTTOM OF THE PAGE WHEN COMPLETED. FOLLOWING THIS, YOU WILL BE DIRECTED TO A PRINTABLE REGISTRATION FORM. NEXT, PLEASE PRINT THE FORM AND MAKE A CHECK PAYABLE TO :

MAILING ADDRESS:
ALOHA SURFING SCHOOL.
701 7TH CT
P.B.G., FL 33410.

OR
#2 FILL OUT REGISTRATION FORM AND SUBMIT. ONCE YOU HAVE COMPLETED THIS STEP, NEXT FOLLOW THE STEPS FOR ONLINE PAYMENT VIA PAY PAL.

ALOHA AND THANK YOU!

 How did you hear about us? :
 First Name :
 Last Name :
 Age :
 Gender :
 Students Email Address :
 Parent or Guardian :
 Address :
 City/State/Zip :
 Home Phone :
 Work :
 Cell :
 Email :
 
Please check box for optional rashguard purchase or the session dates under the desired location:
 *Aloha Rashguard per child $35 :
*T-shirt sizes for mens :
*T-shirt sizes for boys :
Aloha Water Sports Camp
Location: Loggerhead Park Juno Beach
Time: Mon - Fri: 9:00 am - 3:00 pm
* All DAY CAMP * ages 6 and up $250 weekly session *$20 off siblings
 May 31 - Jun 5  Jun 7 - Jun 11  Jun 14 - Jun 18
 Jun 21 - Jun 25  Jun 28 - Jul 2  Jul 5 - Jul 9
 Jul 12 - Jul 16  Jul 19 - Jul 23  Jul 26 - Jul 30
 Aug 2 - Aug 6  Aug 9 - Aug 13  Aug 16 - Aug 20
Please check box if needed for :  $25 For EARLY DROP off @ 8am Mon- Fri
 $25 4 pm LATE PICK UP Mon-Fri
 
Teenage Water Sports Camp
Location: Loggerhead Park Juno Beach
Time: Mon - Fri: 9:30 am - 3:00 pm
* All DAY CAMP * ages 14 and up $250 weekly session *$20 off siblings
 May 31 - Jun 5  Jun 7 - Jun 11  Jun 14 - Jun 18
 Jun 21 - Jun 25  Jun 28 - Jul 2  Jul 5 - Jul 9
 Jul 12 - Jul 16  Jul 19 - Jul 23  Jul 26 - Jul 30
 Aug 2 - Aug 6  Aug 9 - Aug 13  Aug 16 - Aug 20
Please check box if needed for :  $25 For EARLY DROP off @ 8am Mon- Fri
 $25 4 pm LATE PICK UP Mon-Fri
 
Jupiter Surf Camp
Location: Carlin Park
 Mon-Fri 9:00-1:00 noon ages 6 and up $200 weekly session *$20 off siblings
 May 31 - Jun 5  Jun 7 - Jun 11  Jun 14 - Jun 18
 Jun 21 - Jun 25  Jun 28 - Jul 2  Jul 5 - Jul 9
 Jul 12 - Jul 16  Jul 19 - Jul 23  Jul 26 - Jul 30
 Aug 2 - Aug 6  Aug 9 - Aug 13  Aug 16 - Aug 20
 
 Palm Beach / Lake Worth Pier:
 Mon - Fri : 9-12:30 noon all ages $200 weekly session * $20 off siblings
 Jun 21 - Jun 25  Jun 28 - Jul 2  Jul 19 - Jul 23
 Jul 26 - Jul 30  Aug 2 - Aug 6
 
 Comments :
 Emergency Contact: Name :
 Emergency Contact: Phone :

ASSUMPTION AND ACKNOWLEDGMENT OF RISKS AND RELEASE OF LIABILITY AGREEMENT

In applying to enter my son(s), daughter(s) or relative(s) in Aloha Surfing School or skate program I promise to inspect the skate and surfing site, and assure myself that the area is safe for surfing and skateboarding and further agree that I will not participate nor allow the below named minor to participate unless I am satisfied that the area and conditions are safe for surfing or skateboarding purposes. I will also release all rights of my childs camp photos to Tina Hutchings photography and Aloha's Surfing School advertisements .I understand and will comply with all Aloha Surfing School rules and regulations, note existing weather conditions, and do agree that I voluntary assume all risk arising out of surfing or skating activities and conditions relating to use of the surf camp or Abacoa Skate Park. In consideration of your acceptance of this entry, I intending to be legally bound, hereby, for myself, son(s), daughter(s), relative(s), heirs, executors and administrators, hold harmless and release and forever discharge the Aloha Surfing and Skate School, Paul Vargas, Palm Beach County Parks and Recreation, Palm Beach County, Town of Jupiter and Parks, and Aloha Skate & Surfing School's Sponsors and all of their employees, agents, independent contractors, servants and any officials connected therewith, from any and all liability and causes of action for bodily injury, damage or other loss, including but not limited to my own negligence and the negligence of the above named parties, arising out of my or the herein named minor's presence or participation in the above described event and as described in the Registration form which is incorporated herein in full. I attest that I, my son(s), daughter(s) or relative(s) is physically fit and is sufficiently trained for surfing/skateboarding and do hereby grant the above named parties such release as described herein. I hereby represent and warrant that I have authority to sign this document on behalf of  

 [name of minor student(s)].

 Date

 Parents :
 Electronic Signature : : By checking here I agree that my signature is legally affixed to this document
      
 

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