Child Participant Form • Bodhi Surf + Yoga

Participant Information

Participant's Surfing Experience

Participant's Health Information

Release & Payment Policies

Participant's Name*

First Last

Gender*

Are you over 18 years of age?

Date of Birth*

Height*

Please list height in Feet and Inches (e.g. 5 feet, 9 inches = 5ft. 9in.)

Weight*

Please list weight in pounds

T-Shirt Size*

Passport Number*

Passport Expiration Date*

Name of parent/guardian*

First Last

Parent/guardian traveling with the participant

What room are you staying in?*

Participant's Surfing Experience

Participant Information

Participant's Surfing Experience

Participant's Health Information

Release & Payment Policies

What's your surfing level?

Describe your surf experience

Please describe your previous surfing experience

Participant's Health Information

Participant Information

Participant's Surfing Experience

Participant's Health Information

Release & Payment Policies

Please describe your state of health*

List any health conditions (asthma, diabetes, heart conditions, etc.) or medications that we should know about. If you have none then please write "None".

Do you have any physical limitations?*

List any physical limitations or injuries (past or present) that we should be aware of for surfing, or any other activities you will be participating in during this trip. If you have none then please write "None".

Do you have any allergies or dietary restrictions?*

List any food allergies, dietary considerations, or special diet requests that we should know about. If you have none then please write "None".

Emergency Contact Info

Please provide the emergency contact information for an individual NOT traveling with you.

Emergency Contact's Name*

First Last

Emergency Contact's Email*

Emergency Contact's Phone*

Release & Payment Policies

Participant Information

Participant's Surfing Experience

Participant's Health Information

Release & Payment Policies

Read the Participation Release and Indemnification Agreement

Read the Payment and Cancellation Policy

By submitting this form I am acknowledging that I have read and agree to the terms of the Participation Release and Indemnification Agreement and the Payment Policy as disclosed by Bodhi Surf S.A.

By submitting this form we, Parent/Guardian and Participant, are acknowledging that we have read and agree to the terms of the Parent and Minor Participation Release and Indemnification Agreement as disclosed by Bodhi Surf S.A.

Participant Acceptance*

I, the Participant, have read and accept the terms of the participant release and payment and cancellation policy.

Parent/Guardian and Minor Participant Acceptance*

We, the Parent/Guardian and the Participant, have read and accept the terms of the parent and minor participant release.

Minor Participant Information Form

Bodhi Family

Participant Information

Participant's Surfing Experience

Participant's Health Information

Emergency Contact Info

Release & Payment Policies

+506 8712-8919

+506 8626-2458

[email protected]

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