Student Information

Name*

Gender*

Male

Female

Date of Birth*

Country of Birth*

Town/City of Birth*

Address*

Phone*

Email*

Password*

Next of Kin Name and Phone number (person to contact in case of an emergency)*

Selection Criteria

Which SUP school will you complete your practical hours with. (Name of Learn to SUP School) or write “none” if no school at the moment*

How long have you been SUPing (number of hours)?:*

What is your Sup skill level?*
Enclosed Flat Water: inland locations, confident, 5 phases of the paddle stroke. Exposed Waters: coastal, harbour, inland waters greater than 1 km, 1.5ft shorebreak, 2ft swell. Downwind & Distance Paddling: paddle 10 km, following coastal seas or inland water bodies. Beginner (Surf): trim along waves 1.5 ft surf Intermediate (Surf): - perform bottom turn, cutback, link manoeuvres on forehand & backhand (in 4ft surf) at various surf breaks. Advanced (Surf) – perform roundhouse cutback, reentry, tube riding in in 6ft surf at various surf breaks SUP Yoga SUP Fitness

Describe your paddling experience - locations / conditions you have supped in*

Reason for Study. Please write down in not less than 50 words why you would like to undertake this course (e.g work related, personal development)*

List your current water rescue and senior first aid qualifications. (water rescue to be no more than 24 months old (or 12 months old in Australia) & Senior First Aid to be no more than 3 years old)* (These certificates can be provided up to 12 months after the workshop)

Are you interested in accessing support to improve your English if help was available?* Yes No

What type of support do you think would be of benefit?*

Applicant Declaration

ASI abides by the Privacy Act. The information collected in this application is for the purposes of registration, program monitoring and evaluation. In supplying the requested information, the participant is deemed to have consented to the use of the information for these purposes.

I certify that the information supplied in this enrolment form and the documentation supporting it is true and correct. I understand that any incorrect information or withholding of information or documentation may result in the cancellation of any enrolment.

I have read and agree to be bound by the terms contained in the :
Student Information and Code of Practice Click here to view

Student Indemnity Agreement

IN CONSIDERATION of the Organiser permitting me to participate in the training course, I agree with it as follows:

1. I UNDERSTAND that participating in any type of training or course or activity may be DANGEROUS and I voluntarily ACCEPT the risk of damage consequent upon or arising from my entry as a student, and the use of the Organisers facilities.
2. I WILL NOT SUE the Organisers for any negligence, tort, breach of contractual or any other legal or equiptable rights howsoever caused, and this indemnity will extend to and include any damage arising from my competing in training and from my use of the Organiser’s facilities and I INDEMNIFY the Organisers in respect of the same.
3. I WILL abide by the Rules and Regulations of the Organiser’s as to the training and to the use of the Organiser’s facilities and the directions of the Organiser’s officials including the right to terminate or cancel my training and the use of the Organiser’s facilities at any time and for any reason.
4. THE PERSONAL INFORMATION I have supplied to the Organiser regarding my qualifications, experience, and any other matter associated with the training is true and correct and I have READ AND UNDERSTOOD all of the clauses of this agreement before signing the same and before my use of the Organisers facilities.
5. IN THE AGREEMENT the following words shall respectively mean “the Student” the person named as such on the enrolment form accompanying this agreement. “the Organiser” is the Academy of Surfing Instructors Pty Ltd (including any associated campus or organisation) any Training Facilitators/Assessors, lecturers, directors, officers, managers, advisors, employees, agents, licensees, sub-contractors, subsidiaries, holding companies, associates and assignees, or any person associated with the company or person in any way. “:the Organiser’s facilities” the water, land and buildings associated with any training or any part of the training, weigh-in, media conference, accommodation or training venue. “use of the Organiser’s facilities” the use by the student or his attempted use of the Organiser’s facilities whether such use or access is in breach of this agreement of the Organiser’s Rules and regulations or authorised or otherwise and whether intended to be so used or no. “Damage” all loss or damage, costs or expenses, whether direct or indirect flowing from any legal liability, claim, demand, right of action, proceedings or judgment of whatever nature and whether arising at law or in equity and whether suffered to the person or property of the Organiser, the Student, or any other person or corporation and whether arising out of or consequent upon the negligence of the Organiser, the Student or otherwise. “Rules and Regulations” are the Rules and Regulations relating to any Training which are available from the Organiser, and include all amendments or alterations to the Rules and Regulations made from time to time.

Declaration confirmation*

Yes to the above Applicant Declaration & Student Indemnity Declaration No

Choose your size for your free ASI Instructor T-shirt. Standard unisex sizes only. (Available for selected courses only)*

Small

Medium

Large

Xlarge

Declaration confirmation

Submit this enrolment form (hit submit button)
You will be taken to a payment screen
Enter your credit card information.
Once payment is processed, you will receive a confirmation of enrolment

Refund Policy *

REFUND POLICY: Full refund less Euro €60 administration fee provided on minimum notice of 14 days prior to workshop date.
TRAINING MANUALS: No refund is provided if training manuals have been posted to you or e-learning account has been accessed.

Yes, I have read and understand the refund policy

No

Payment

Usual Fee EuroEuro € 300

PAYMENT OPTIONS*

Credit Card Bank Transfer Other

heading

SUP - SUP Yoga Teacher

Student Information

Selection Criteria

Payment

heading

SUP - SUP Yoga Teacher

Student Information

Selection Criteria

Payment

Sign in