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Indo Jax Surf Charities
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2024 Charity Surf Camp Registration Form
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
Autism Surf Event - Wrightsville Beach
June 18-19
5:00PM-7:00PM
Different Not Less - Atlantic Beach
June 23
10:00AM-12:00PM
Visually Impaired Surf Event - Wrightsville Beach
July 9-10
5:00PM-7:00PM
Chromosome Surf Event - Wrightsville Beach
July 23-24
5:00PM-7:00PM
Childhood Cancer Surf Event in Memory of Donnalee Wilcox - Wrightsville Beach
Aug 6-7
5:00PM-7:00PM
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.