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Indo Jax Surf Charities
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2024 Charity Surf Camp Registration Form - West Coast
Registration Information
*required
*Participant Name
*Parent/Guardian Name
*Height
*Weight
*Age
*Street Address
*City
*State
*Zipcode
*Email Address
*Phone Number
Special Instructions
- Please add any additional information that might be beneficial for us to know such as mobility issues, etc.
.
*Select Camp
Special Needs Surf Camp West Coast - Pismo Beach Area, CA
July 17th - 19th
9:00AM-12:00PM
Wavers and Consent
*By checking this box you indicate that you have read and agree to the Waiver
(
Click Here to Read the Waver
)*
By checking here, I indicate I do NOT consent to the use of photographs or likeness of me taken by Indo Jax® Surf School for their own purposes.