Registration Form - Waterman Week 2023
Dates: June 24th to July 1st, 2023
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Email *
Full name  *
Date of birth  *
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DD
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Home Address  *
What is your lifesaving experience? *
Do you need any recertification? If yes, name which one.  *
What is your Surf level? *
Do you have any allergies of medical information we should be aware of? If yes, please describe. *
Emergency Contact (name, phone number, email address).  *
Which package would you like to choose? *
Preferred payment method *
How did you hear about this Surf Lifesaving Bootcamp? *
Thank you for your registration!
We are stocked to have you on board! 

You will be contacted shortly in order to proceed with payment and complete your inscription. 

Contact:
info@vamosyouthcr.com
A copy of your responses will be emailed to the address you provided.
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