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Innerlight Surf Camp Registration 2024
Registration and Waiver for Surf Camp 2024
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* Indicates required question
Email
*
Your email
Participants Name:
*
Your answer
Participants DOB:
*
MM
/
DD
/
YYYY
Age:
*
Your answer
Parent/Guardian Name:
*
Your answer
Valid Email Address (this is how we contact you):
*
Your answer
Address:
*
Your answer
City/State
*
Your answer
Zip Code:
*
Your answer
Phone Number:
*
Your answer
Emergency Contact Name:
*
Your answer
Emergency Contact Number:
*
Your answer
Session Choice:
*
Session 1 (May 28, 29, 31)
Session 2 (June 3, 5, 7)
Session 3 (June 10, 12, 14)
Session 4 (June 17, 19, 21)
Session 5 (June 24, 26, 28)
Session 6 (July 1, 2, 3)
Session 7 (July 8, 9, 10)
Session 8 (July 15, 17, 19)
Session 9 (July 22, 24, 26)
Session 10 (July 29, 31, Aug 2)
Session 11 (Aug 5, 6, 7)
Required
Shirt Size (may be substituted):
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Order Number (from online receipt, form will be rejected if invoice number is incorrect):
*
Your answer
How did you hear about camp?
*
Returning Surfer from Camp
Trip Advisor
Word of Mouth (friend, family, etc)
Facebook/Instagram
In the Shop
Google
Other:
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