Waiver & Liability Release Form

After you have read the agreement below please fill out the form with the requested information and check the box marked "I Agree" then click send. Please do this for each adult in your party. For minors under 18 years of age you may list each of them in the Name of Participant line.

Name of Participant (required)

Name of Parent / Legal Guardian (required if participant is under the age of 18)

Age

Date of Birth

Height

Weight

Gender
MaleFemale

Phone (required)

Your Email (required)

Please describe any pain or injuries that we should be aware of:

Are you allergic to jelly fish, bees or anything similar and do you carry an epi pen?YesNo

By clicking the "I agree" check box I agree that I have read, understand, and acknowledge the Hanalei Surf School Waiver and Liability Release Form and confirm that the information I provided is true. I also verify that I am an adult age 18 and older or I am the Parent / Legal Guardian of the participant.

I Agree