Tuesday, 7th September 2010 
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If you wish to book your lessons or a course with us please fill out the form provided below.

If you are entering a group booking, please fill out the details for the group leader and you can list the number of people in the party and the experience levels for the group.

Once you have entered all the information please follow instructions to pay your deposit which is based on £10.00 per person.

If you are under 18, please complete and then print the form, get your parent or guardian to sign it and send it to is by mail or email.

* Required fields and must be filled in!

Title:
First Name: *
Second Name *
House / Street: *
Street (Optional)
City: *
Postcode: *
Country:
Email Address: *
Contact Number: *
Age:

* Under 18 requires parental consent.

Surfing Ability:
 
General Comments:
Any illness or allergy:
If YES, give details:
Medication:
Number of Lessons Required:
Number in Group:
Male:
Female:
Deposit Total:£
Preferred Dates:
From:
 *
To:
Can you swim 50m in deep water: 
Can you tread water for 2 minutes:
Do you own a surfboard: 
Do you want to use this board:
Length/Type of Board:
Name and Contact information of Parent / Relative / Guardian:
Please type in the text exactly as shown
(It is case sensitive)


By submitting this form we assume that you have read and agree to our terms and conditions. Click on this text to read these terms and conditions.


Perranporth Surf School : Quality Surfing lessons on perranporths beautiful beach.
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