Consent & waiver, classic form

Activity waiver template

A lesson waiver with swimming ability, medical conditions, experience, a conditions acknowledgement, equipment size and a guardian for minors.

9 questions, 8 required, as a classic form

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The Activity waiver template as a respondent sees it, top of the form

Every question

  1. Surfer's name (required)

    Full name

  2. Surfer's date of birth (required)

    Date

  3. Can the surfer swim 50 metres unaided in the ocean or a pool? (required)

    Single choice: Yes, comfortably, Yes, but not confidently, No

  4. Does the surfer have any of these? (required)

    Multiple choice: Asthma, Epilepsy or seizures, Diabetes, A heart condition, A recent shoulder, back or knee injury, Pregnancy, None of these

  5. Has the surfer surfed before? (required)

    Single choice: Never, One or two lessons, Can catch white water and stand, Can catch unbroken waves

  6. Conditions acknowledgement (required)

    Multiple choice: I understand the ocean risks above and will follow the instructor's directions in the water

  7. Wetsuit size (required)

    Dropdown: Kids 8, Kids 10, Kids 12, Kids 14, Adult XS, Adult S, Adult M, Adult L, Adult XL, Bringing my own

  8. Parent or guardian (under 18s only)

    Full name

  9. Signature of the surfer, or the guardian for under 18s (required)

    Signature

What you fill in

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