BOOK A COURSE

                               

                                                        BOOKING FORM

                                      DREAM BIG KITESURFING SCHOOL

TODAYS DATE__________________

FIRST NAME____________________ SURNAME_______________________

HOUSE NUMBER & STREET NAME TOWN AND PROVINCE

_________________________________ _________________________________

 HOME PHONE NUMBER CELL PHONE NUMBER

___________ _______________________ _________________________

AGE OCCUPATION COURSE DATE/S

___________ _______________________ FROM_________TO_______

EMAIL ADDRESS

PLEASE TICK REQUIRED COURSE

- KITESURFING TASTER DAY R 999.00

- 2 DAY BEGINNERS COURSE R 1999.00

- BEGINNER ONE TO ONE COACHING R 399.00 PER HOUR(MINIMUM 8

HOURS)

- INTERMEDIATE ONE TO ONE COACHING R 299.00   PER

HOUR(MINIMUM 4 HOURS)

BOOKING CONDITIONS

- ALL STUDENTS MUST BE OVER 18 YEARS OF AGE OR ACCOMPANIED AT ALL TIMES

BY A PARENT OR GUARDIAN

- ALL COURSES ARE BOOKED FOR THE SPECIFIED DATES ABOVE AND ARE NONTRANSFERABLE

- YOUR LESSON STARTS AT THE PRE ARRANGED TIME PROMPTLY AND IF YOU ARE

LATE FOR YOUR LESSON YOU WILL STILL BE CHARGED THE FULL RATE

- CANCELLATIONS WITH LESS THAN 7 DAYS NOTICE WILL BE LIABLE FOR FULL

PAYMENT

- FULL PAYMENT MUST BE MADE AND RETURNED TO US WITH THIS FORM 7 DAYS

PRIOR TO THE COURSE DATE STARTING

- IN THE EVENT OF A COURSE BEING UNFINISHED DUE TO ADVERSE WEATHER OR

STOPPED FOR ANY OTHER REASON BY THE INSTRUCTOR, YOU WILL BE OFFERED

TWO FIXED DATES ON WHICH TO RETURN AND COMPLETE YOUR TRAINING.

FAILURE TO ATTEND ON THE DATES OFFERED, WILL RENDER ANY OWED TIME

VOID

- THE INSTRUCTORS DECISION IS FINAL

- ALL KITE AND SAFETY EQUIPMENT WILL BE PROVIDED BY US.

- ALL EQUIPMENT IS STANDARD SIZES, SMALL, MEDIUM ETC

- ALL OUR INSTRUCTORS ARE FULLY TRAINED AND INSURED

- STUDENTS MUST BE AWARE THAT POWER KITE SPORTS ARE POTENTIALLY

DANGEROUS AND ARE UNDERTAKEN AT YOUR OWN RISK

ALL STUDENTS MUST SIGN IN AGREEMENT WITH THE BOOKING CONDITIONS AND

MAKE FULL PAYMENT 7 DAYS BEFORE THE COMMENCEMENT OF THE COURSE

THE LEVEL YOU REACH IS DETERMINED BY YOUR INDIVIDUAL ABILITY & AS SUCH

CANNOT BE GUARANTEED

SIGNED BY THE STUDENT___________________________________

PLEASE COMPLETE MEDICAL QUESTIONS OVERLEAF

DREAM BIG KITESURFING SCHOOL

ESSENTIAL MEDICAL INFORMATION

SECTION A. PERSONAL DETAILS

HEIGHT________________ WEIGHT_____________________

WOULD YOU DESCRIBE YOURSELF AS VERY FIT___FIT___UNFIT___VERY UNFIT___

WOULD YOU DESCRIBE YOURSELF AS- VERY GOOD SWIMMER___WATER CONFIDENT___

POOR SWIMMER

ARE YOU A SMOKER___NON SMOKER___

SECTION B. NEXT OF KIN (WHO SHOULD WE CONTACT IN CASE OF EMERGENCY)

NAME__________________________________ CONTACT NUMBER________________________________

RELATIONSHIP (IE SPOUSE)____________________________________________________________

SECTION C. DOCTOR

NAME OF DOCTOR______________________ PHONE NUMBER__________________________________

ADDRESS_____________________________________________________

SERCTION D. YOUR CURRENT HEALTH

HAVE YOU BEEN PRESCRIBED ANY MEDICATION WITHIN THE LAST THREE MONTHS OR

ARE YOU CURRENTLY TAKING ANY MEDICATION

YES______ NO_____

IF YES, GIVE DETAILS______________________________________________________

DO YOU SUFFER/HAVE PROBLEMS WITH ANY OF THE FOLLOWING

HEARING___SIGHT___MUSCLES & BONES___ALLERGIES___LEARNING DIFFICULTIES___

DIABETES___ HEART___

IF YES, GIVE DETAILS______________________________________________________

ARE THERE ANY MEDICAL FACTS THAT YOU HAVE NOT INCLUDED ON THE FORM BUT

WOULD PREFER TO DISCUSS WITH A SENIOR MEMBER OF STAFF

YES_____NO_____

SIGNED BY STUDENT

INTERNAL USE ONLY

CHECKED BY - FIRST NAME___________________________SURNAME______________________

SIGNED BY INSTRUCTOR__________________________INSTRUCTOR ID NUMBER___________

RISK ASSESSMENT REQUIRED YES_____NO_____