PLEASE COMPLETE, PRINT AND MAIL OR FAX BOOKING FORM

FIRST NAME: LAST NAME:

ST. ADDRESS: ADDRESS2:

CITY: STATE: ZIP:

COUNTRY OTHER: E-MAIL:

PHONE: FAX: CEL#:

AGE: HEIGHT: WEIGHT:

HAVE YOU EVER SURFED BEFORE? YES NO (No Previous Experience Required)

WILL YOU BE BRINGING YOUR OWN SURFBOARD? YES NO

WHAT IS YOUR SWIMMING ABILITY?

HOW DID YOU HEAR ABOUT US?

NEWSPAPER

INTERNET

REFERRAL

MAGAZINE (If so which magazine)

OTHER

PLEASE SELECT A PACKAGE:
*All sessions are Sunday to Saturday, ending at noon on Saturday.

WAHINE PACKAGE - $2195
Private Room for 6 nights
(Sun-Sat departure 6 nights total)
2 Gourmet meals a day (Breakfast & Dinner)
Surfing instruction and equipment
Yoga
One - 1 hour massage
*Airfare and Airport transfer not included in the
package price
OHANA PACKAGE - $1995
Double Share Room for 6 nights
(Sun-Sat departure 6 nights total)
2 Gourmet meals a day (Breakfast & Dinner)
Surfing instruction and equipment
Yoga
One - 1 hour massage
*Airfare and Airport transfer not included in the
package price
CHECK HERE FOR A TWO WEEK STAY: CHECK HERE FOR A TWO WEEK STAY:

PLEASE SELECT A PACKAGE:
Air travel not included in rates.
All sessions Sunday to Sunday, ending on Sunday morning before noon.

* Co-ed Valentine Session **Please contact our office for March & April Session availability

PURA VIDA - $1995
Private Room for 7 nights
2 Gourmet meals a day (Mon - Sat), Breakfast & Dinner, Sunday Breakfast only.
Shuttle to and from Tambor airport at 5pm arrival on Sunday and 10:40am departure on Sunday.
All included activities
One - 1 hour massage
Surfing instruction and equipment
AMIGAS - $1795
Shared Room for 7 nights
2 Gourmet meals a day (Mon - Sat), Breakfast & Dinner, Sunday Breakfast only.
Shuttle to and from Tambor airport at 5pm arrival on Sunday and 10:40am departure on Sunday.
All included activities
One - 1 hour massage
Surfing instruction and equipment
CHECK HERE FOR A TWO WEEK STAY: CHECK HERE FOR A TWO WEEK STAY:

FLIGHT INFORMATION:
AIRLINE: FLIGHT:

ARRIVAL DATE: ARRIVAL TIME: AM PM

IF YOU DO NOT HAVE YOUR FLIGHT INFORMATION YET, PLEASE CALL AND WE CAN HELP YOU (949)492- SAND

PAYMENT INFO:
Money Order/ Check make payable to:
Kelea Surf Spa
2073 Emerald Street,
San Diego, CA 92109
Credit Card:
VISA Mastercard
Credit Card #
Expiration Date (mm/dd/yy)

The following are guidelines in the event that you must cancel your Kelea session. There is no refund for arriving late or leaving a session early. If you must cancel your reservation, your cancellation fee will be determined according to the following:

• If you cancel your reservation more than 30 days prior to the session start date you will forfeit 50% of your deposit

• If you cancel your reservation 15-29 days prior to the session start date, you will forfeit 75% of your deposit

• If you cancel your reservation within 15 days of the session start date, you will forfeit 75% of your total payment.

Exceptions to our policy cannot be made for any reason, including weather or personal emergencies. Kelea Surf Spa strongly recommends purchasing Travel Protection Insurance. If Kelea Surf Spa must cancel a session, all payments received to date will be refunded, which constitutes full settlement. Kelea Surf Spa is not responsible for expenses incurred in preparation for any canceled trips, such as airline tickets, or for costs incurred due to travel delays, flight cancellation or illness.

EMERGENCY INFORMATION NAME: INSURANCE COMPANY POLICY#

IN CASE OF EMERGENCY, PERSONS WHO MAY BE CONTACTED
NAME1: PHONE1:
NAME2: PHONE2:

DO YOU HAVE ANY SPECIFIC DIETARY NEEDS?

DOES THE PARTICIPANT HAVE ANY MEDICAL CONDITIONS OR RESTRICTIONS? THIS WOULD INCLUDE ALLERGIES AND MEDICATIONS TAKEN ON A DAILY BASIS.

TYPE NAME HERE DATE (mm/dd/yy)


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