Perfect Day Summer Camp

Surf Camp Registration Form

Personal Information

Pls fill up the form *First Name *Last Name *Age *Gender *Rashguard Size Parent/Guardian Name *Primary Phone
(Preferably Cell) Secondary Phone
(Home/Work/Etc) *Email Street Address Address 2 Apt/Suite) City State Zip Code Emergency Contact (Name) Emergency Contact (Phone) Physician Name Physician Phone

Please let us know of any medical conditions you may have that would require any special assistance? If none please leave blank:

Camp Information

Summer Surf Camp Beach Camp

Surf Lesson Spring Break All Season Pass

*Primary Week of Camp
  Requested Second Week of Camp
  Requested Third Week of Camp
  Requested *Time of camp Requested

Note: You will get 10% off for every additional child for weekly summer camps only.

Additional Children:

Name	Age	T-Shirt Size

If Paying by Gift Certificate, Enter Number Here How'd you hear about us
Additional Info/Comments:

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Perfect Day Surf Camp

Surf Camp Registration Form

Personal Information

Camp Information

Additional Children: