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Cart
0
Connect
Train
Serve
About
Our Team
Podcast
Surfers Bible
That every surfers and every surfing community has opportunity to know and follow Jesus
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Old Salts Hawaii #1 Registration
A non-refundable deposit of AUD$100 must be paid before registering.
Pay Deposit
Pay Balance
Personal Details
Name
*
Your full name as it appears on your passport
Email Address
*
Mobile Phone Number
*
With international dial code
Date of Birth
For insurance purposes
MM
DD
YYYY
Emergency Contact Name
*
Emergency Contact Phone Number
*
Passport Details
Some countries may refuse entry to persons with less than 6 months validity on their passports beyond the period of intended stay, ACCORDINGLY PLEASE ENSURE YOURS IS VALID FOR THIS TRIP.
Are you able to enter Hawaii as a US citizen or someone not requiring a passport?
*
If in doubt please answer no. If the answer is yes you may leave the passport fields blank.
Yes
No
Passport Number
Passport Expiry Date
MM
DD
YYYY
What is your ESTA number?
The USA and its Territories require a visa to enter called an ESTA. Apply for an ESTA online at:
https://www.esta-cbp.org/tourist-visa
Travel Details
Our trip begins in Hawaii and your responsibility is to get there by Saturday January 27, 2018 to check in at 12:00 noon. We can help with your travel arrangements if you prefer.
Are we ordering a ticket for you on this flight?
*
Yes
No
Travel Insurance
All travellers must have travel insurance to join this trip. This insurance must be valid for the location and activities to be undertaken. Travel insurance may be purchased along with your airline ticket.
Do you have travel insurance?
*
Yes
No, please arrange a quote for me in addition to my airline ticket
If you answered yes above please provide the name of the insurer and the policy number.
Extras
Shaping a board: Surfboard shaping experience is available 5 minutes away with professional shaper
Mike Tuten
. For AUD$450 you can shape your own blank under instruction and then watch it being glassed on another location ready for you to take home (remember it takes a week to cure). Buying a board: If you want to purchase a custom Eric Arakawa board for $AUD700-800, we will put you in touch to organise your order. Helping Larry: It would be great for us to to help out Larry in down time doing some basic maintenance (painting, carpentry, gardening, electricals, etc.)
Do you want to shape a board for AUD$450?
*
Yes
No
Do you want to buy an Eric Arakawa custom board for AUD$700-$800?
*
Yes
No
Please list any skills you have to help Larry.
Risk Warning and Waiver
Please read carefully the Risk Warning and Waiver document sent to youby email. Please sign and date the last page and send a copy of this by return email to
resources@christiansurfers.net
. The following is a summary of it for you to agree to.
Risk Waiver
*
Each participant must acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, reefs, tide, water current and swell conditions, facilities, temperature, weather, condition of participants, equipment, vehicular and watercraft traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers. Do you acknowledge the risks involved in this activity?
Yes
No
Participation is Voluntary
*
The capacity and competence to participate in an activity is the responsibility of the individual and participation is voluntary and at the risk of the individual. Is your participation voluntary and at your own risk?
Yes
No
Medical Attention
*
In the situation that medical treatment may be deemed advisable in the event of injury, accident, and/or illness during this activity individuals must hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity. Do you consent to receiving medical treatment that may be deemed advisable?
Yes
No
Photographs, etc.
*
I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns. Do you agree to the use of your image/likeness as described?
Yes
No
Have you signed the Accident Waiver and Release of Liability Form and sent a copy to the organiser?
Yes
No
Thank you!
Pay Balance