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SURF CAMP REGISTRATION FORM

 

STEP ONE:
Please provide the following information:
Asterisk (*) fields are required. Please provide as much information as possible so we can better take care of you!

Student Information:

* Child Name
*Age
Gender Male Female
* Parent/Guardian First Name
* Parent/Guardian Last Name
* Primary Phone
(Preferably Cell)
Secondary Phone
(Home/Work/etc.)
Street Address
Address 2 (Apt/Suite)
City
State
Zip Code
Emergency Contact (Name)
Emergency Contact (Phone)
Physician Name
Physician Phone

Please let us know of any medical conditions you may have that would require any special assistance? If none please leave blank:



Confirmation Info:
We will email a confirmation to each email address you provide below.
* E-Mail Address
Alt/2nd E-Mail Address
Alt/3rd E-Mail Address

Camp Info:
* Number of Students Total $
* Number of Weeks
*Type of camp requested Schedule & Pricing
Flexible Days: Select Trial Day and check any combination of days and times below. Discount provided for 2 or more days.
Morning Session (9:30-12:15) Mon Tue Wed Thu Fri
Afternoon Session (12:45-3:30) Mon Tue Wed Thu Fri
*Location of camp requested
*Primary Week of Camp Requested
Second Week of Camp Requested
Third Week of Camp Requested
Fourth Week of Camp Requested
Fifth Week of Camp Requested
Sixth Week of Camp Requested
Seventh Week of Camp Requested
Eighth Week of Camp Requested
Ninth Week of Camp Requested
Tenth Week of Camp Requested
NOTE:
Trial Days
should be scheduled on Mondays if possible for basics training.
Spring Break Surf Camp is at the Santa Monica/Venice location.
Wetsuit:
* Please select size, or select "I will bring my own."

If the wetsuit sizes listed do not match your height and weight, please select the most approximate size and make a note of your height and weight in the comments field.

Size chart
Size Height Weight
4 4' 1 - 4' 3 30-40
6 4' 3 - 4' 5 45-60
8 4' 5 - 4' 7 60-75
10 4' 7 - 4' 10 75-90
12 4' 10 - 5' 1 90-105
14 5' 1 - 5' 5 105-120
XS 5' 5 - 5' 7 120-140
S 5' 7 - 5' 9 135-155
M 5' 9 - 5' 11 150-170
L 5' 11 - 6' 1 170-185
XL 6' 1 - 6' 2 185-210
XXL 6' 2 - 6' 3 210-230
XXXL 6' 3 + 230-250
Additional Children:
NOTE:
Change the number of students selected in the Camp Info section above to add additional children.
Name Age Wetsuit Size Relationship
to Registrant
Sibling
Friend/Other
Sibling
Friend/Other
Sibling
Friend/Other
Sibling
Friend/Other
Early Drop-off and Late Pick-up are available at a rate of $15/hour for the first child and $7.50 per additional child
Early Drop-off (8:00am) Mon Tue Wed Thu Fri
Late Pick-up (4:30pm) Mon Tue Wed Thu Fri
Late Pick-up (5:00pm) Mon Tue Wed Thu Fri
Gift Certificate Number
Coupon/Promo Code
How'd you hear about us
Additional Info/Comments:
Transportation:
Transportation to and from surf camp is available from our Transportation Partner, HopSkipDrive! Use Promo Code "LASURF" for a Free First Ride!
If you would like to receive our email newsletter, leave this box checked
I agree to Learn To Surf LA's Terms and Conditions
Click the button below to continue to the payment page.
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