Surf Lesson Sign Up Form
Step 1:
First Name
Primary Contact Number
Email
Last Name
Secondary Contact Number
Gender
City
State
Medical Conditions
Please let us know of any conditions you may have that would require any special assistance. If none please write NA.
Personal Information:
Lesson Information:
$100 per person/2 session for Private and Group Lessons
$80 per person/2 hour session for Multiple Lessons of 2 or more students
Level
Number of Students
Type of Lesson Requested
Wetsuit Information:
Date of Lesson Requested
Time of Lesson Requested
Please enter the quantity for each size needed. NOTE: If the wetsuit sizes listed do not match your height and weight, please select the most appropriate size for your weight and make a note of your height and weight in the comments field below.
Emergency Contact Number
Number of Lessons
Quantity
Size
Weight (lbs)
Height
Own
Student will bring their own wetsuit(s)
Please provide the following information
4
4' 1'' - 4' 3"
30 - 45
6
4' 3'' - 4' 5"
45 - 60
8
4' 5'' - 4' 7"
60 - 75
10
4' 7'' - 4' 10"
75 - 90
12
4' 10'' - 5' 1"
90 - 105
14
5' 2'' - 5' 5"
105 - 120
XS
5' 5'' - 5' 7"
120 - 140
S
5' 7'' - 5' 9"
135 - 155
M
5' 9'' - 5' 11"
150 - 170
L
5' 11'' - 6' 1"
170 - 185
XL
6' 1'' - 6' 2"
185 - 210
XXL
6' 2'' - 6' 3"
210 - 230
949.334.7649
SANCLEMENTESURF@GMAIL.COM
