Waiver Form

WAIVER FORM – STAND UP PADDLE (SUP) ACTIVITIES

• I understand and acknowledge that Stand Up Paddle (SUP) activities are dangerous and that there are inherent risks which may result in serious injury to myself.  Additionally, water/waves/ocean can act in a sudden and unpredictable way.
• I declare that I can swim 50 metres (150 feet).
• I declare that I do not have any medical or physical conditions that would affect my participation in the activity.
• I agree not to drink alcohol or take prohibited drugs before or during SUP activities.
• I understand that my signature to this document constitutes a complete and unconditional release of all liability of the proprietors of Conundrum Co., Ltd. trading as iSUP Samui and its employees and agents in the event of me and/or the children under my care, suffering injury or death.
• I authorise iSUP Samui to arrange medical or hospital treatment as necessary and I agree to pay for all associated costs.

Waiver Form

Please advise Instructor of any medical conditions, such as:

Asthma

Previous broken bones / dislocated joints

Diabetes

Wearing contact lenses / hearing aids

Allergies

Any Disabilities

Any other medical conditions

Date

Name *

Email *

Skill Level * Beginner Experienced

Child or Adult * Adult Child

Signature *

Clear

iSUP Samui Instructor to complete

Location Bangrak Bophut Chaweng Choeng Mon Koh Som Lamai Lipa Noi Maenam Taling Ngam Other Location

Instructor Tammy Ian

Instructor Signature

Instructor Signature

Conundrum Co., Ltd. trading as iSUP Samui
8/53 Moo 5 Soi 7 Plai Laem, Tambon Bophut, Koh Samui