Surfers registry - Murillo´s Academy 2024

Please fullfil the form below to confirm your registration

Student´s data

Student´s first name

Last name

Birthdate

Nationality

Contact Data

Your contacts data or relatives Contact data If student is under 18

Student / Parents Cell phone Nr

Student / Parents Email

Name (if parent or other relative)

Contact in case of accident

Cell phone Nr - 1

Cell phone Nr - 2

Name (First and last names)

Agenda

When do you want to start

Tell us your height (cms)

And your wheight (kgs)

Verifications

By Clicking on the terms aceptance you legally declare that you are aware of our terns if use and you authorize that the data here by sent may be used for service management purposes according with the hired service.

For Health and safety purposes as for the SARSCoV-2 or CoronaVirus context you declare still that: On the last 14 days the student hasn´t presented any symptom related with the Covid-19 disease such as fever, flu, constipation, head aches or any other; On the last 14 days the student hasn´t been in contact with anyone suspect, in analysis or infected with the CoVID-19 disease that you know of.

I do accept the terms of use See terms of use

I want to subscribe to Murillo´s Academy´s newsletter

I here by declare that I authorize the usage of images that may be taken during the activities of the services hired only for Murillo´s Academy advertising purposes as well as social media tagging for a 2 years period.

Sim

Não

Please check your welcome email to confirm your registration(s) Thank you and good waves!