Integrated Surf Fitness Form

We're excited that you're interested in our programs!

To ensure a personalized experience, we limit each program to a maximum of 8 participants. Your understanding is greatly appreciated. Don't worry, though, because we'll make sure to keep you updated. Look out for an email confirmation from The Nexus Team, where we'll provide you with the next steps and let you know if your submission has been accepted. Thank you for considering The Nexus Station, and we can't wait to embark on this journey together!

Name *

Email address *

Phone number

Age

Preferred T-Shirt Size

Height

Weight

SWIMMING ABILITY(MUST BE ABLE TO SWIM AT A BEGINNERS LEVEL):

If under 18

Please select at least one option.

Parent Name

Parent Phone

Parent Email

Please note that submitting this form does not guarantee a spot in our program. The Nexus Team will carefully review your submission, and if accepted, we will contact you directly to confirm your participation. Thank you for your understanding. Please check the box below to acknowledge this information: *

Please select at least one option.

I understand that submitting this form does not guarantee a spot in the program, and The Nexus Team will contact me directly if my submission is accepted.

Sorry, we were not able to submit the form. Please review the errors and try again.