SUMMER SWELL 1 Registration Form

Early Booking Fee £210/€260 (Book before 3rd March 2017)
Late Booking Fee £250/€300 (For Bookings after 3rd March)
Deadline for Booking 17th March

 

General Information

 

T-shirt size:  XS S M L XL XXL

 

 

Health & Dietary requirements of participant

 

Do you have any special dietary requirements?  Yes No

Do you suffer from any allergies?  Yes No

Do you have any known medical conditions, including current medication being taken?  Yes No

 

General Information for 2nd Participant

If you have a second participant you would like to add, please input their details here. If the address is the same you may leave it blank.

 

T-shirt size:  XS S M L XL XXL

 

 

Health & Dietary requirements of 2nd participant

 

Do you have any special dietary requirements?  Yes No

Do you suffer from any allergies?  Yes No

Do you have any known medical conditions, including current medication being taken?  Yes No

 

Emergency Contacts for participants

Emergency contact 1

 

Emergency contact 2

 

Please read and Check the following:

 

Would you like to book a seat on the Wave rider mini-bus travelling from Dublin to Portrush?  Yes No
If Yes:
 From Dublin RTN €20
 From Belfast RTN £10
Please add the correct amount when you pay at the end.

 

 I give permission for the participant(s) to attend Surf Project events and participate in all activities of the event.
 I will inform the Surf Project Organisers of any important changes to this/these child’s health, medication or needs prior to this event.
 In the event of illness or accident, having parental responsibility for the above named child/children, I give permission for first aid to be administered where considered necessary by a trained first aider, if available, or medical treatment to be administered by a suitably qualified medical practitioner. If I cannot be contacted and the child/children should require emergency hospital treatment, I authorise an adult leader to sign on my behalf any written form of consent required by the hospital. However, I understand that every effort will be made to contact me as soon as possible.
 At all Surf Project Events, Photos and Videos are taken of participants and Groups enjoying Surf Project Activities. I give permission for Photographs and videos to be taken of my Child/Children and these photographs and videos to be used for promotional purposes.

Upon clicking 'Finish' you will be brought to Paypal for payment in order to complete the booking. Please input the amount due (plus bus money if applicable) and click UPDATE. Then input your details to complete the purchase. Once your transaction is completed, you will be brought back to the booking page which will confirm your booking. Thank You!