SIGN UP FOR LESSONS

Step 1:

Please provide the following information:

Asterisk (*) fields are required. Please provide as much information as possible so we can better take care of you!

Personal Information:

* First Name
* Last Name
   Gender Male     Female
* Primary Phone
(Preferably Cell)
   Secondary Phone
(Home/Work/Etc.)
* E-Mail Address
   Emergency Contact (Name)
   Emergency Contact (Phone)
   Skill Level (Select one)
 
 
 
 

   Please let us know of any medical conditions you may have that would require
   any special assistance. If none please leave blank:

  

Lesson Info:

* Type of lesson requested


NOTE: If registering more than one person for a group lesson, please indicate so
in the comments field below.
 
* Date requested        
* Alt/2nd date requested        
* Alt/3rd date requested        
   4th date requested        
   5th date requested        
   6th date requested        
   7th date requested        


NOTE: We will confirm date(s) and time(s) requested if available or suggest alternatives if not.
 

Wetsuits:

Please enter the quantity for each size needed.

NOTE: If the wetsuit sizes listed do not match your height and weight, please select
the most appropriate size for your weight and make a note of your
height and weight in the comments field below.


Check here if you will be bringing your own wetsuit
 

Quantity Size Height Weight (lbs)
4 4' 1" - 4' 3" 30 - 45
6 4' 3" - 4' 5" 45 - 60
8 4' 5" - 4' 7" 60 - 75
10 4' 7" - 4' 10" 75 - 90
12 4' 10" - 5' 1" 90 - 105
14 5' 2" - 5' 5" 105 - 120
XS 5' 5" - 5' 7" 120 - 140
S 5' 7" - 5' 9" 135 - 155
M 5' 9" - 5' 11" 150 - 170
L 5' 11" - 6' 1" 170 - 185
XL 6' 1" - 6' 2" 185 - 210
XXL 6' 2" - 6' 3" 210 - 230
XXXL 6' 3" + 230 - 250

   Any Additional Info/Comments?

  

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