Please fill out the following information before you purchase your camp. It's pretty painless and allows us to keep your information for you. All fields are required.

**ATTENTION: You must fill out this form and THEN purchase your camp after submittal

Contestants Name (person attending the camp):

Under 18 Parents Name:

Emergency Phone: (include area code)

Home Phone: (include area code)

Mobile Phone: (include area code)

Email:

Confirm Email:

Home Address:

City:

State: -- AA AB AE AK AL AP AR AS AZ BC CA CN CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MP MS MT NB NC ND NE NF NH NJ NM NS NT NU NV NY OH OK ON OR PA PE PR PW QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT Zip Code:

DOB:     Age:

Gender: -- Male Female Grade Level: -- 1 2 3 4 5 6 7 8 9 10 11 12

Tee Shirt Size: (Choose one from below)

-- Adult Small Adult Medium Adult Large Adult X-Large Youth Small Youth Medium Youth Large

Surf Division: (Choose one from below)

-- Grom - 13 & under) Junior Men's to Master's Girls to Women's

Name on Credit Card (This helps us match up payments/registrations) :

Registration Date:

**ATTENTION: You must take one more step and purchase your camp after you click "SUBMIT". You have not ordered your camp until you have completed this registration form.