National Surf Schools and Instructors Association

Instructor Renewal Application

________________________________________________________________________

City __________________________________ State _______ Zip __________________

Email ______________________________ Phone ______________________________

Current Certification Level: Apprentice _____ Instructor _____Coach _____ Senior Instructor _____ Master _____

I hereby certify to the following:

1. I have delivered at least 20 hours of surfing lessons or have coached during the past year.

2. I have participated in at least 50 hours of surfing practice.

3. I support the NSSIA principals, mission, and code of ethics.

4. I agree to abide by the NSSIA policies for safe surf instruction.

5. I agree to maintain your CPR certificates current.

6. I will not hold NSSIA liable for any activities I undertake as a certified professional instructor or coach.

Signed_________________________________________ Date:____________________

Please return signed application with $25 renewal fee to:

NSSIA

P.O. Box 550

Chesapeake Beach, MD 20732

Annual renewal of certifications is required.