Please complete the online medical form and submit prior to the activity.

Name *
Date of Birth *
Date of Birth
Date of SUP Activity *
Date of SUP Activity
How would you describe your fitness level?
I am able to swim 50 meters in light clothing *
Has your doctor ever said you have heart trouble? *
Have you ever had pains in your chest? *
Do you often feel faint or have spells of dizziness? *
Has a doctor said your blood pressure is too high? *
Have you been in hospital in the last 3 years? *
Do you suffer from asthma or have any other breathing difficulties? *
Do you suffer from diabetes, epilepsy or a mental disorder? *
Do you suffer from an allergy? *
Bone or joint problems, that has been aggravated by exercise? *
Are you pre/post natal? *
Are you on any medication? If so what is it and why? *
Agree to the following *
I understand and acknowledge that SUP activities are dangerous and that there are inherent risks which may result in serious injury to myself. Additionally, water/waves/ocean can act in a sudden and unpredictable (changeable) way. I declare that I can swim 50 metres (150 feet). I declare I am over the age of 10. I declare that I do not have any medical or physical conditions that would affect my participation in the activity. (e.g. please advise Psyched Paddleboarding of asthma,previous broken bones, dislocated joints, diabetes, allergic reactions, wear contact lenses/hearing aids, any disabilities, etc). If you take medication, please bring it with you, such as inhalers, epipens, etc. I agree not to drink alcohol or take prohibited drugs before or during SUP activities. I understand that by submitting this form it constitutes a complete and unconditional realise or all liability Psyched Paddleboarding and its employees to the greatest extent allowed by the law in event of me and/or the children under my care, suffering injury or death. I authorise Psyched Paddleboarding to arrange medical or hospital treatment as necessary and I agree to pay for all associated costs.