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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...
June 6th - 10th
June 13th - 17th
June 20th - 24th
June 27th - July 1st
July 4th - 8th
July 11th - 15th
July 18th - 22nd
July 25th - 29th
August 1st - 5th
August 8th - 12th
August 15th - 19th
August 22nd - 26th
August 29th - September 2nd
September 5th - September 9th
March 28th - April 1st
April 4th - April 8th
November 25th, 26th and 27th
December 26th 27th 28th, 29th
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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Other:
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