{"id":28,"date":"2021-05-27T10:17:11","date_gmt":"2021-05-27T10:17:11","guid":{"rendered":"http:\/\/localhost:8000\/?page_id=28"},"modified":"2025-11-11T14:13:12","modified_gmt":"2025-11-11T14:13:12","slug":"additional-support-form","status":"publish","type":"page","link":"https:\/\/www.thewave.com\/additional-support-form\/","title":{"rendered":"Self Assessment Form"},"content":{"rendered":"\t<div class=\"hero-light outside-container\">\n\t\t<div class=\"hero-content container min-h-screen-1\/2\">\n\t\t\t<div class=\"row pt-48\">\n\t\t\t\t<div class=\"breadcrumb\">\n\t\t\t\t\t<div class=\"mb-28\">\n\t\t\t\t\t\t<!-- Get Breadcrumb Partial-->\n\t\t\t\t\t\t<a href=\"https:\/\/www.thewave.com\/\" class=\"\">Home<\/a><span class=\"opacity-60\"> \/<\/span><span class=\"opacity-60\"> Self Assessment Form<\/span>\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"\" >\n\t\t\t\t\t\t<div class=\"w-full md:w-1\/2\">\n\t\t\t\t\t\t\t<h3 class=\"hero-main-heading text-robins-egg-500 font-bettertimes\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/h3>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t<div class=\"col-12 lg:col-6\">\n\t\t\t\t\t\t<div class=\"flex-col\">\n\t\t\t\t\t\t\t\t<h1 class=\"\n\t\t\t\t\t\t\t\thero-main-heading\n\t\t\t\t\t\t\t\tfont-black uppercase mb-9 text-bluewood font-poppins\">\n\t\t\t\t\t\t\t\t\tAdditional Support Assessment Form\t\t\t\t\t\t\t\t<\/h1>\n\t\t\t\t\t\t\t<div class=\"text-center partial-button-width-wide partial-button-justify-start\">\n\t\t\t\t\t\t\t\t<!-- Get Button Partial-->\n\t\t\t\t\t\t\t\t\n\n<!--- Button Partial --->\n<div class=\"items-center my-2 row\">\n    <\/div>\n<!--- \/Button Partial --->\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\t\t\t\t\n\t\t\t\t\t<div class=\"col-12 lg:col-6\">\n\t\t\t\t\t\t<div class=\"pt-8 text-lg border-t-4 border-charcoal wysiwyg-defaults font-poppins\">\n\t\t\t\t\t\t\t<p>This self-assessment form is to help us ascertain what we can safely offer you at The Wave and what additional provisions we can put in place to help you participate in a surf session. Some of the questions within this assessment may not necessarily be representative of you as a person.<\/p>\n<p>Please note, our opening times change throughout the year. We are currently open Wednesday &#8211; Sunday.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\n\n\t<div class=\"outside-container-base\">\n\t\t<div class=\"container\">\n\t\t\t<div class=\"wpforms-container \" id=\"wpforms-3543\"><form id=\"wpforms-form-3543\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"3543\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/wp-json\/wp\/v2\/pages\/28\" data-token=\"374f1366ed04e253576d03e0d52da284\" data-token-time=\"1769676214\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-3543-field_4-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"4\"><h3 id=\"wpforms-3543-field_4\">Personal details<\/h3><\/div><div id=\"wpforms-3543-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_2\">Name of participant <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3543-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/div><div id=\"wpforms-3543-field_35-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_35\">Email of participant <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-3543-field_35\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][35]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-3543-field_36-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_36\">Contact number of participant <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-3543-field_36\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][36]\" aria-label=\"Contact number of participant\" required><\/div><div id=\"wpforms-3543-field_40-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_40\">Date of birth of participant <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-3543-field_40\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][40][date]\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-3543-field_45-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_45\">Name of Parent\/Guardian (if applicable)<\/label><input type=\"text\" id=\"wpforms-3543-field_45\" class=\"wpforms-field-medium\" name=\"wpforms[fields][45]\" ><\/div><div id=\"wpforms-3543-field_39-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_39\">Email of Parent\/Guardian (if applicable)<\/label><input type=\"email\" id=\"wpforms-3543-field_39\" class=\"wpforms-field-medium\" name=\"wpforms[fields][39]\" spellcheck=\"false\" ><\/div><div id=\"wpforms-3543-field_41-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_41\">Contact number of Parent\/Guardian (if applicable)<\/label><input type=\"tel\" id=\"wpforms-3543-field_41\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][41]\" aria-label=\"Contact number of Parent\/Guardian (if applicable)\" ><\/div><div id=\"wpforms-3543-field_12-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Are you completing this form for yourself? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3543-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_12_1\" name=\"wpforms[fields][12]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_12_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_12_2\" name=\"wpforms[fields][12]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_12_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3543-field_5-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"5\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_5\">Your relationship <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3543-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><div class=\"wpforms-field-description\">If completing this form on behalf of someone else, please state your relationship to them.<\/div><\/div><div id=\"wpforms-3543-field_30-container\" class=\"wpforms-field wpforms-field-email wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"30\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_30\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-3543-field_30\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][30]\" spellcheck=\"false\" required><div class=\"wpforms-field-description\">If completing this form on behalf of someone else, please provide your email.<\/div><\/div><div id=\"wpforms-3543-field_6-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"6\"><h3 id=\"wpforms-3543-field_6\">About you<\/h3><\/div><div id=\"wpforms-3543-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_7\">What is the surfer&#039;s disability or medical condition? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3543-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-3543-field_8-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"8\"><label class=\"wpforms-field-label\">Is the surfer on any medication? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3543-field_8\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_8_1\" name=\"wpforms[fields][8]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_8_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_8_2\" name=\"wpforms[fields][8]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_8_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3543-field_9-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"9\" style=\"display:none;\"><label class=\"wpforms-field-label\">Do they require this to be kept with them at the water&#039;s edge? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3543-field_9\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_9_1\" name=\"wpforms[fields][9]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_9_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_9_2\" name=\"wpforms[fields][9]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_9_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3543-field_10-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"10\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_10\">Please provide further details: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-3543-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/textarea><\/div><div id=\"wpforms-3543-field_11-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"11\"><label class=\"wpforms-field-label\">Does the surfer have any learning difficulties, cognitive impairments, or difficulty following instruction? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3543-field_11\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_11_1\" name=\"wpforms[fields][11]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_11_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_11_2\" name=\"wpforms[fields][11]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_11_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3543-field_13-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"13\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_13\">Please briefly describe <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-3543-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><\/textarea><\/div><div id=\"wpforms-3543-field_14-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"14\"><label class=\"wpforms-field-label\">Does the surfer have any visual or hearing impairments? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3543-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_14_1\" name=\"wpforms[fields][14]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_14_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_14_2\" name=\"wpforms[fields][14]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_14_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3543-field_15-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"15\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_15\">Please describe the level of vision or hearing below and whether any aids can be used in the water? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-3543-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" required><\/textarea><\/div><div id=\"wpforms-3543-field_16-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"16\"><h3 id=\"wpforms-3543-field_16\">Mobility<\/h3><\/div><div id=\"wpforms-3543-field_17-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"17\"><label class=\"wpforms-field-label\">Is the surfer a wheelchair user? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3543-field_17\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_17_1\" name=\"wpforms[fields][17]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_17_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_17_2\" name=\"wpforms[fields][17]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_17_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3543-field_18-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"18\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_18\">How does the surfer usually transfer from chair to chair or chair to floor? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-3543-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" required><\/textarea><\/div><div id=\"wpforms-3543-field_31-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"31\"><label class=\"wpforms-field-label\">Is the surfer able to lay down flat on their front and lift their upper torso and head? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3543-field_31\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_31_1\" name=\"wpforms[fields][31]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_31_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_31_2\" name=\"wpforms[fields][31]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_31_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3543-field_32-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"32\"><label class=\"wpforms-field-label\">Is the surfer able to grip with one or both hands? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3543-field_32\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_32_1\" name=\"wpforms[fields][32]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_32_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_32_2\" name=\"wpforms[fields][32]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_32_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3543-field_33-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"33\"><label class=\"wpforms-field-label\">Is the surfer able to kneel? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3543-field_33\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_33_1\" name=\"wpforms[fields][33]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_33_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_33_2\" name=\"wpforms[fields][33]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_33_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3543-field_34-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"34\"><label class=\"wpforms-field-label\">Is the surfer able to stand unassisted? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3543-field_34\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_34_1\" name=\"wpforms[fields][34]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_34_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_34_2\" name=\"wpforms[fields][34]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_34_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3543-field_20-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"20\"><h3 id=\"wpforms-3543-field_20\">Additional Information<\/h3><\/div><div id=\"wpforms-3543-field_21-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"21\"><label class=\"wpforms-field-label\">Is the surfer able to swim 25 metres unaided? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3543-field_21\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_21_1\" name=\"wpforms[fields][21]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_21_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_21_2\" name=\"wpforms[fields][21]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_21_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3543-field_22-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"22\" style=\"display:none;\"><label class=\"wpforms-field-label\">When in the water are they able to roll onto their back and keep their head above water? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3543-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_22_1\" name=\"wpforms[fields][22]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_22_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_22_2\" name=\"wpforms[fields][22]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_22_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3543-field_23-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"23\"><label class=\"wpforms-field-label\">Has the surfer got any previous surfing experience? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3543-field_23\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_23_1\" name=\"wpforms[fields][23]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_23_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_23_2\" name=\"wpforms[fields][23]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_23_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3543-field_24-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"24\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_24\">Please briefly describe <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-3543-field_24\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][24]\" required><\/textarea><\/div><div id=\"wpforms-3543-field_25-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_25\">Please use this box to provide any additional information which may be useful in enabling us to offer a safe and enjoyable activity:<\/label><textarea id=\"wpforms-3543-field_25\" class=\"wpforms-field-medium\" name=\"wpforms[fields][25]\" ><\/textarea><\/div><div id=\"wpforms-3543-field_26-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"26\"><h3 id=\"wpforms-3543-field_26\">Session Details<\/h3><div class=\"wpforms-field-description\">Please select 3 dates you are available in order of preference<\/div><\/div><div id=\"wpforms-3543-field_42-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_42\">Preferred visit date 1 <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-3543-field_42\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][42][date]\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-3543-field_43-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_43\">Preferred visit date 2 <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-3543-field_43\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][43][date]\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-3543-field_44-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_44\">Preferred visit date 3 <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-3543-field_44\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][44][date]\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-3543-field_28-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"28\"><label class=\"wpforms-field-label\">Please indicate if you would prefer a morning or afternoon session: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3543-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_28_1\" name=\"wpforms[fields][28]\" value=\"AM\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_28_1\">AM<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3543-field_28_2\" name=\"wpforms[fields][28]\" value=\"PM\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3543-field_28_2\">PM<\/label><\/li><\/ul><\/div><div id=\"wpforms-3543-field_29-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-3543-field_29\">Which experience would you like to book? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-3543-field_29\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][29]\" required=\"required\"><option value=\"Beginner Lesson\"  class=\"choice-1 depth-1\"  >Beginner Lesson<\/option><option value=\"Beginner\"  class=\"choice-2 depth-1\"  >Beginner<\/option><option value=\"Waikiki Lesson\"  class=\"choice-4 depth-1\"  >Waikiki Lesson<\/option><option value=\"Waikiki\"  class=\"choice-5 depth-1\"  >Waikiki<\/option><option value=\"Intermediate Lesson\"  class=\"choice-6 depth-1\"  >Intermediate Lesson<\/option><option value=\"Intermediate\"  class=\"choice-7 depth-1\"  >Intermediate<\/option><option value=\"Advanced\"  class=\"choice-8 depth-1\"  >Advanced<\/option><\/select><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"3543\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.thewave.com\/wp-json\/wp\/v2\/pages\/28\"><input type=\"hidden\" name=\"url_referer\" value=\"http:\/\/www.thewave.com\/additional-support-form\/\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-3543\" class=\"wpforms-submit\" data-alt-text=\"Sending\u2026\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" data-src=\"https:\/\/www.thewave.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner lazyload\" style=\"--smush-placeholder-width: 26px; --smush-placeholder-aspect-ratio: 26\/26;display: none;\" width=\"26\" height=\"26\" alt=\"Loading\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t<\/div>\n\t<\/div>\n\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":true,"footnotes":""},"class_list":["post-28","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Self Assessment Form - The Wave<\/title>\n<meta name=\"description\" content=\"We strive to make surfing accessible for as many people as possible. 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