SURF CAMP REGISTRATION FORM NAME First Name Last Name EMAIL PHONE (###) ### #### PLEASE PROVIDE THE FULL NAMES AND PHONE NUMBERS OF ALL ADULTS AUTHORIZED TO PICK UP YOUR CHILD DATE(S) PLEASE ADD EXACT DATE(S) IN DETAIL IN THE NOTES SECTION MM DD YYYY WHAT WOULD YOU LIKE TO BOOK? CHOOSE ONE OF THE FOLLOWING OPTIONS SINGLE DAY (DROP IN) 2 DAY PACK 3 DAY PACK FULL WEEK PACK (5 DAYS) WHAT WOULD YOU LIKE TO BOOK? CHOOSE ONE OF THE FOLLOWING OPTIONS HALF DAY (8:45 AM - 12:15 PM) FULL DAY (8:45 AM - 3:15 PM) FULL NAME OF PARTICIPANT AGE AND FULL DATE OF BIRTH HEIGHT AND WEIGHT PLEASE LIST ANY MEDICAL CONDITIONS, ALLERGIES, DISABILITIES, OR INJURIES — INCLUDING PAST OR PRIOR INJURIES — THAT WE SHOULD BE AWARE OF. IT IS VERY IMPORTANT THAT NO INFORMATION IS LEFT OUT DOES YOUR CHILD HAVE THEIR OWN SURFBOARD AND / OR WETSUIT? PLEASE SHARE ANY PREVIOUS SURFING EXPERIENCE YOUR CHILD MAY HAVE — THIS CAN INCLUDE SURF LESSONS, TIME SPENT SURFING WITH FAMILY, SURF CAMPS, OR ANYTHING SIMILAR. DIETARY RESTRICTIONS, NUTRITIONAL NEEDS, AND FOOD PREFERENCES ORGANIC GLUTEN FREE KETO PALEO DAIRY FREE VEGAN VEGETARIAN NOTES Thank you!
