Weekend Waveshakers Registration

BEFORE CONTINUING WITH THE REGISTRATION FORM BELOW:

Please click the following links to read and complete the Participation and Media Release Waivers

BONESHAKER WAIVER: ENGLISH or SPANISH

Weekend Waveshakers Fall 2017

Waiver*
- I agree to the official Boneshaker participation and media release waiver.
- I have digitally signed and agree to the official NLand participation and media release waiver.
Please write your full name below (guardian) indicating you agree in full to the Boneshaker and NLand waivers*
Participant Name*
First Last
Parent/Guardian Name*
First Last
Participant Age*
Participant Gender*
Phone*
Email*
Address*
City*
Zip Code*
(Use billing zip please)
Medical Concerns*
Waveshakers must have a current physical and be strong swimmers to participate. Please alert us to any additional medical concerns or food allergies.
Medical Consent*
- I authorize Boneshaker Project to obtain medical treatment for my child.
Choose your session(s)*
Sessions are $150 for 3 hours and occur every Saturday in September and October (11am-2pm). Includes lunch, a special presentation from a local professional athlete or trainer, and 1.5 hour surf session. Waveshakers may progress with multiple weekends, prices discounted with number of sessions chosen. (Speaker/activity schedule tentative and subject to change)
- September 16
- October 7
- October 14
Lunch*
Please choose one menu item for your lunch (included)
Surf Skill Level*
No skill required, only for grouping purposes.
Choose Your Session(s)*
Please choose the number of sessions based on the number of weekends you chose above. You may reschedule (pending availability) but no refunds please. Multiple sessions reflect progression for one Waveshaker.
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

By submitting this form you agree to the terms of the Boneshaker and NLand Waivers and understand that all Weekend Waveshaker registration sales are final (dates may be rescheduled pending availability).