SCHEDULE LESSON

Student Name:

Best Contact Number/s:

Age:

Height:(ft/in)

Weight: (lbs.)

Pick Your First Surf Lesson Date:

Pick Your Lesson Time:

Enter Any Additional Dates and Times Here:

Please list any previous injuries, medical conditions, or additional information here:

Please tell us how you found our school?

I have read and agree to Learn to Surf Hawaii's Policy:

(Check Here)

Questions / Comments:

Your Email:

Additional Student

Names, Height, Weight:

808-636-SURF (7873)

Oahu: Waikiki - Honolulu -

Diamond Head - Haleiwa - Sunset

Desired Location for Surf Lesson:

(Information required below for proper sizing and surfboard.)