Participant Name/s: __________________________ Age/s: ______
Parent/Guardian Name: __________________________
Address: ______________________________________
Phone: __________________ Email: __________________

 

I understand that participation in surfing, ocean activities, beach games, swimming, transportation, and related camp activities involves inherent risks including, but not limited to, drowning, injury from waves, currents, marine life, weather conditions, equipment failure, collisions, slips and falls, and other serious injuries.

On behalf of my child, I voluntarily assume all known and unknown risks associated with participation in Wave Heart Surf programs.

To the fullest extent permitted by California law, I release and hold harmless Wave Heart Surf, its owners, employees, contractors, instructors, volunteers, and affiliates from claims arising from participation, except for gross negligence or willful misconduct.

In the event of an emergency, I authorize Wave Heart Surf to obtain medical treatment for my child. I understand I am responsible for any resulting medical expenses.

Medical Conditions/Allergies: __________________________________________

Emergency Contact Name/Phone: ________________________________________

Participants are expected to follow instructor directions, respect others, and follow all safety rules. Wave Heart Surf may dismiss participants whose behavior creates safety concerns.

I grant permission for photographs and video of my child to be used by Wave Heart Surf for marketing, social media, website content, and promotional materials without compensation.

☐ YES, I grant permission.
☐ NO, I do not grant permission.

I have carefully read this agreement, understand its contents, and sign voluntarily on behalf of my minor child.

Parent/Guardian Signature: _______________________ Date: __________

Printed Name: __________________________________