Spring Break Surf Camp Registration

Student’s Name (required)

Student’s Age (required)

Dates Attending (required) – You may select multiple weeks

Spring Break Surf Camp
March 13, 2023 – March 17, 2023March 20, 2023 – March 24, 2023March 27, 2023 – March 31, 2023

Medical Details

Check all that apply

NoneDiabetesHeart ConditionAsthmaEpilepsy

Tuition Option (required)

$280 — Includes gift bag and use of surfing gear$305 — Includes above gear plus one of a kind Blue Water Rash Guard to prevent rashes and sunburn$315 — regular tuition, plus long sleeve blue water surf/rash guard shirt

How did you hear about us?(required)

Parent’s or Guardian’s Name (required)

Home phone (required)

Work phone

Cell phone

Emergency Contact (required)

Address (required)

Your Email (required)