New Family Membership - Surfing England

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First Name *

Last Name *

E-Mail Address *

Date of Birth *

Additional Adults

First Name *	Last Name *	Email Address *	Date of Birth *

Add adult

Children

	First Name *	Last Name *
1

Add child

Photography Declaration *

By ticking this box I hereby give permission for the club and its representatives to photograph/video us / my children during the activities. I understand this may be used for publication and on my surf club’s social media. These images will remain there indefinitely.

Participation Declaration *

I confirm that, I understand the details of the activity and consent for us/my children to take part under their surf club’s supervision.

Medical Requirements

We have medical requirements

Medical Details

Details of our medical requirements.

A great value membership for the whole family

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Headline Sponsors

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