WOW Expression of Interest Surf Therapy Form 2026

WOW Surf Therapy Expression of Interest

2026, Waves of Wellness 8-Week Mental Health Surf Therapy Program
We’re so glad you’re here! Thank you for your interest in a Waves of Wellness Surf Therapy program. This short form (around 10 minutes) helps us understand which program you’re eligible for and how we can best support you.

If you’re under 18, a parent or guardian must complete this form on your behalf.

If there isn’t a program available right now, you’ll be added to our registration list, and we'll contact you as soon as a program opens in your area.

If you have any questions, please email us at info@foundationwow.org or call 0459 041 832.

Referral Details

If you’re completing this form on behalf of someone else, please include your details. If this form is for you, select ‘No’ and continue.
Are you referring someone else?

YesNo
Referrers Name

First NameLast Name
Referrers relationship to the participant
Referrers contact number
Please enter a valid phone number.
Referrers Email Address
example@example.com

Physical Readiness for the Program
Each Waves of Wellness session includes a beginner-level surf lesson. For safety reasons, participants need to have a basic level of physical fitness, be able to swim at least 50 metres, and be physically able to participate in water-based activities (with reasonable supports if required).

Sessions are led by qualified surf coaches and delivered in a group setting. While support is always available, one-on-one assistance may not always be possible.
With this in mind, do you feel physically able to safely participate in the surfing component of the session?*

YesMaybe / I'd like to discussNo
Your answer won’t automatically exclude you from the program. If you’re unsure, please select 'maybe' so we can talk it through.

Mental Readiness for the Program
WOW programs involve group discussions and outdoor activities. While trained mental health clinicians facilitate sessions, the program is delivered in a group setting and is not one-on-one therapy.
With this in mind, do you feel able to safely participate in group-based mental health activities and discussions at this time?*

YesMaybe / I'd like to discussNo
Your answer won’t automatically exclude you from the program. If you’re unsure, please select 'maybe' so we can talk it through.

Additional Details to Help Us Support You

This is optional. You’re welcome to share anything you feel comfortable with.
Is there anything else you’d like us to be aware of to help support you during the program?

WOW Surf Therapy Expression of Interest