PSA Central Coast Wavier

In consideration of the Surf School accepting my application to participate in the Program below, I acknowledge, understand and agree that:

1. "Surf School" for the purpose of this declaration means and includes the nominated accredited surf school, Academy of Surfing Instructors ("ASI"), and their respective directors, officers, member, servants or agents.

2. Warning: I understand and acknowledge that surf activities are dangerous and there are inherent risks which may result in serious injury to myself. Additionally, waves/ocean can act in a sudden or unpredictable (changeable) way. I also understand that skateboarding activities are dangerous and may result in serious injury to myself.

3. I declare that I can swim 50 metres (150 feet).

4. I declare that I do not have any fitness, medical or physical conditions that would affect my participation in the activity (eg. please advise instructor of asthma, previous broken bones, dislocated joints, diabetes, allergic reactions, wear contact lenses/hearing aids, any disabilities etc.)

5. I agree not to drink alcohol or take prohibited drugs before or during surf activities.

6. I will at all times comply with the instructions and safety procedures of the Surf School.

7. I authorise the Surf School to arrange medical or hospital treatment as necessary and I agree to pay for all associated costs.

8. Photographic and or visual images taken by the Surf School of my participation in the Program may be used for general promotion of the Organiser's activities.

9.I understand that the information provided by me in this form is necessary for the operation of the Program. I acknowledge and agree that the information will only be used for the objects of the Surf School and provide me with information pertaining to the Program. I understand that I will be able to access my information through the Surf School upon request. If the information is not provided I might not be permitted to participate in the Program.

10. Release and Indemnity: I understand that my signature to this document constitutes a complete and unconditional release of all liability of the proprietors of the Surf School and its employees and agents to the greatest extent allowed by the law in the event of me and/or the children under my care, suffering injury or death.

I have read, understood, acknowledge and agree to the above declaration including the warning, release and indemnity.

Thanks for submitting!