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Parent's Full Name:
Email:
Phone Number:
Cell Number:
Student Name:
Age:
Height (ft/in):
Weight (lbs):
Camp Dates:
Please Select a Date...
March 29th - April 2nd
April 5th - April 9th
June 14th - 18th
June 21th - 25th
June 28th - July 2nd
July 5th - 9th
July 12th - 16th
July 19th - 23rd
July 26th - 30th
August 2nd - 6th
August 9th - 13th
August 16th - 20th
August 23rd - 27th
August 30th - September 3rd
November 26th, 27th and 28th
December 27th 28th 29th, 30th
Please select dates above...
Additional information:
Emergency contact:
Medical conditions/allergies:
Comments, notes and experience:
How you found our school?
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Google
Yahoo!
Craigslist
Surf Shop
Surfline
Friend
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