Broglake lesson form
windsurf and SUP
Email address *
Full Name *
Your answer
D.O.B
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Contact Number *
Your answer
Emergency contact name *
Your answer
Emergency contact Number *
Your answer
Address *
Your answer
I declare that to the best of my knowledge I am not suffering from impetigo, epilepsy, asthma, diabetes, angina or any other heart complaint without making my instructor aware prior to arrival. *
Please give any medical details below and contact us prior to arrival
Your answer
I am a competent swimmer, i will wear a provided buoyancy aid (if not wearing a windsurf harness or SUP leash) *
Details and personal information given will not be shared or used inappropriately. You give consent for emergency contact information to be shared in a medical situation with the appropriate medical services, and emergency contact to be contacted if required. You give consent for us to contact you regarding relevant information. *
brogborough lake does not permit swimming, the only time in which you are allowed in the water is during your session with the equipment supplied, anyone breaking this rule be asked to leave, no refund will be issued,
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