Phone *

or WhatsApp

Country

(###)

###

####

I am IKO (international kiteboarding organization) level 3n or greater: *

Yes

No, but I can demonstrate equivalent skills

No, not yet

I know how to self-rescue, and can demonstrate the protocol if asked: *

Yes

No, not yet

I can re-launch the kite in deep water: *

Yes

No, not yet

I can body drag up-wind if I lose the board: *

Yes

No, not well

That's what waverunners & instructors are for!

I know how to use the de-power AKA trim and understand its applications: *

Yes

Somewhat, but not entirely

Where? When?

I know the order and protocol for safety if I lose control of the kite: *

Yes

No, I need a refresher

Safety thurd!

I recognize kiteboarding is an 'extreme sport' and carries significant risk to my body if performed without adhering to reasonable safety precautions. *

Yes

If I have any medical conditions or physical limitations I will consult a medical professional for clearance prior to participating. *

Yes

I know how to swim. *

Yes

I am aware that HZ is an IKO certified instructor (international kiteboarding organization) who upholds the safety standards & protocols established by this, the foremost industry standardization body... and I am to do the same. *

Yes

I hereby release Harly Zelfon dba Kitesurf Miami from any and all liability or indemnification relating to lessons today and beyond. *

Yes

I consent to usage of my likeness (respectfully represented enjoying this activity) for marketing purposes in any and all forms of branded communications subject to removal request. *

Yes

If I have misrepresented my skills and knowledge base, and something should occur to the equipment or to my person, then I will be personally responsible for any damage or loss. *

Yes

I am STOKED. Let's Fly!

YES!!

By writing my name I acknowledge that I have read & agree to the above statements. *

First Name

Last Name

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country