Surfing Lessons / Nancy Emerson / Oahu Hawaii / Gold Coast Australia

Paddling your board
The key is to be centered directly down the middle of your board, with your body weight equally distributed on either side of the wooden stringer. Arch your lower back and up on your ribs, keeping your eyes and head looking forward where you are going.

Compulsory fields are marked with an asterix

YOUR INFORMATION:

First Name:

Last/Surname:

Company:

Age:

18-25 26-35 36-45 46+ Children & teens 5-17

Billing Address:

City:

State / Province:

Zip / Postal Code:

Country:

Home Phone:

Mobile / Cellphone:

Work Phone:

Fax:

Email Address

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Your Destination

Please tick the countries you would like to include in your surf clinic
Oahu, Hawaii
Australia (depends on Nancy's availability, please request in advance)
Namotu, Fiji ( no beginners and allow 12 - 18 months advanced booked min)
Request for Nancy Emerson to bring Aloha Surf Clinics to your area ( travel expenses & fee additional)

TRAVEL ARRANGEMENTS:

Would you like us to organize your COMPLETE travel Arrangements? Yes: No:

Or maybe you would just like help with a part of your arrangements, ie. Local transfers, Rental Car, Accommodations? Please Advice Us:

Preferred Accommodations:

Dates of Travel: Arrival Date:

Departure Date:

WATER EXPERIENCE:

For Nancy Emerson School of Surfing to provide you with the most effective coaching and for you to receive the best out of your clinic or lessons, PLEASE answer the following questions truthfully.

Please place a check next to one of the below that applies specifically to you in regards to your Swimming Ability:

	Basic I can float and feel comfortable in the water, 250 meters/100 yards in a pool or lake
	Intermediate I can identify undertow and rip currents from the shore, and know how to get out of them. When in the water, I can swim 500 meters/250 yards comfortably in a pool or lake.
	Advanced "You're a Water Baby!"

HEALTH:

Do you have any physical ailments or injuries ie. back, knee, shoulder, neck pain?
Yes: No:
(If Yes, please provide details)

Have you had any experiences during your childhood or adult life that have left you feeling uncomfortable with "Our Mother Ocean"?

SURF EXPERIENCE:

Have you ever surfed before?

What is your realistic level of ability?

Where have you surfed, what size of waves have you ridden?

What size and shape of surfboard have you used or what are you currently using?

Are you bringing your own boards or do you want to use our equipment during your clinic or classes?

CHOOSE INSTRUCTOR/CLASSES:

Your choice of instructor (refer webpage for rates)

*If available.

For combination please add your preference, ie. 1 day Chief Instructor and 2 days Nancy Emerson

ADDITIONAL INFORMATION:

Are you interested in other tours or excursions during your visit? ie. Diving, Fishing, Bush walking, Theme Parks.(in Australia)

Are there any other details that the Nancy Emerson School of Surfing needs to know regarding your intended trip to make things easier or more comfortable for your Surfing Experience?

What type of lessons or clinic are you interested in?

*personally guided and coached by Chief instructor or Nancy Emerson.

How many will be in your group? (group consists of 3 - 5 people)
Ages?

Thank you very much for filling out our reservation questionnaire which will help greatly in assisting in planning your surfing clinic or class with Nancy Emerson and the Australian School of Surfing

Please refer to our webpage for rates and types of clinics and classes.

Click here to download & print the credit card reservations authorization form