registration form

Emerald Isle Surf Shop - Surfing School

*** If you are already at the beach and want to register please call the shop directly at 252.354.8422 ***

School Date:

Select preferred date:
(Tuesday, Wednesday, Friday)

Your Name:

First Name:  Last Name: 

Phone Numbers:

Primary Phone #: area code first then number (example 123-456-7890)
Alt. Phone #2:
Alt. Phone #3:

Email

Primary Email:
Confirm Email: **(please re-enter primary email)**

Home Address:

Street Address:
City:
State:
Zip:

Surf School Info:

We need general height/weight info in order to reserve an appropriately sized surfboard. Thanks!

Your Height: (Feet ' Inches")
Your Weight: (lbs)
Your Birth Year: yyyy (example 1967)

Number of Persons: ** please call 252-354-8422 for group rates (4+)**

If you selected more than one person please provide approximate height and weight for each in the comments box below.

Comments - Questions - Any medical conditions we should be aware of?
Contact info while at the beach (address and/or phone) - or anything else you want us to know:



Would you like to receive our sales or promotional information via email? (We promise not SPAM you)
No: Yes:

The Emerald Isle Surf School is a group lesson running on:

  • Tuesdays
  • Wednesdays
  • Fridays


    • from Memorial Day to Labor Day

    Check-in starts at 8:30 AM
    Class hours are approximately 9 AM to 11:30 AM

    Advance registration is required. If you have any questions please call 252.354.8422.
    IMPORTANT NOTES:
  • Be sure your registration information is correct

  • Once we receive your information, we will contact you and confirm school date, answer any questions you may have, and complete the registration process.

  • 20% refundable deposit (see details) is required in order for us to hold your reservation.
    		•
    If you are already at the beach and want to register for Surf School call 252.354.8422
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