Bristol Para Surf Club Membership Sign Up
Membership to Bristol Para Surf Club will run from July 2026 - July 2027 with a maximum of 30 members and a guarantee of a minimum of 6 sessions per person. The reason for this is to allow every surfer a chance to surf equally, if any spaces are free we will offer them to other members. This is a pilot year for BPSC and please support us in trying to create a sustainable and exciting surf club for all our members.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: ***********.
Date of Birth
-
Day
-
Month
Year
Date
Home Postcode
Ethnicity
White
Asian
Black
Mixed
Prefer not to say
Other
Gender
Female
Male
Prefer not to say
How do you surf?
*
Stand
Kneel/Seated
Prone
Visually Impaired
How many times have you surfed?
*
Not at all
less than 5
between 5-20
More than 20
What is your disability or medical condition?
What support do you usually have when surfing?
*
Emergency Contact Person
*
First Name
Last Name
Emergency Contact Number
*
Please enter a valid phone number.
Format: ***********.
Signature (If under 18, parent or guardian sign)
*
Name of parent or guardian
My Products
*
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BPSC 2026/27 1 year membership
£25.00
£
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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