Preferred Name

SUURV Wellness InstructorIntake Form

Professional Declaration

I confirm that I am appropriately trained, certified, and competent to deliver the wellness modalities I will be facilitating.

I confirm that I will only teach within the scope of my qualifications and experience.

I understand that SUURV does not provide medical advice, diagnosis, or treatment through its programs.

Health, Fitness & Capacity

Untitled multiple choice field

I confirm that I am physically and mentally fit to conduct wellness sessions for the duration of the SUURV Holiday.

I confirm that I am physically fit to participate in surfing activities should I choose to take up surfing lessons during the Holiday.

Insurance & Risk Acknowledgement

I understand that I am solely responsible for maintaining appropriate travel, health, and professional insurance during the SUURV Holiday.

Liability Acknowledgement

I acknowledge that my participation as a Wellness Instructor involves inherent physical and environmental risks, including but not limited to movement-based activities, travel, and outdoor conditions. I agree that SUURV Adventures Pte. Ltd. shall not be held liable for injury, illness, loss, or damage incurred by me, except where required by applicable law.

Content & Image Consent

I grant SUURV Adventures Pte. Ltd. permission to use photographs, videos, audio recordings, and written content captured during the Holiday for marketing, editorial, and promotional purposes, across digital and print platforms, with respectful representation.

Final Declarations

I confirm that all information provided in this form is true, complete, and accurate.

I acknowledge that submission of this form does not replace the Wellness Instructor Agreement.

I confirm that I have read, understood, and agree to the SUURV Wellness Instructor Agreement.

I understand that failure to disclose relevant information may result in removal from the program.

SUURV Wellness Instructor
Intake Form

Personal Identification

Full Name (as per passport)

Email Address

Preferred Name

Phone Number (with country code)

Passport Number

Passport Issuing Country

Passport Expiry Date

Nationality