|
Please fill out the following information before you purchase your camp. It’s pretty painless and allows us to keep your information for you. All fields are required.
**ATTENTION: You must fill out this form and THEN purchase your camp after submittal
Contestants Name (person attending the camp):
Under 18 Parents Name:
Emergency Phone: (include area code)
Home Phone: (include area code)
Mobile Phone: (include area code)
Email:
Confirm Email:
Home Address:
City:
State:
Zip Code:
DOB:
Age:
Gender:
Grade Level:
Tee Shirt Size: (Choose one from below)
Surf Division: (Choose one from below)
Name on Credit Card (This helps us match up payments/registrations) :
Registration Date:
|