REGISTRATION INSTRUCTIONS

**Each participant will receive a wooden surfboard certification plaque.

Adult T-shirt size

Small

Medium

Large

X-Large

Youth T-shirt size

Small

Medium

Large

X-Large

Surfing Experience *

Extensive

Moderate

Some

None

Choose June 25-28 *

Option one

Email *

Check here to receive email updates

Phone *

Age: *

Participant: *

Parent *

Address *

Sex *

Male

Female

"From Seed To Surf"

**Submit the registration form above before paying below.

(321) 698-6169

Please completely fill out the registration form on your left and be sure to click the SUBMIT button on the bottom of the form.

SURF CAMP PAYMENT

Liability Form

Regular Rate-One Child (after May 1st) - $185.00

Balsa Wood Surfboards

Please fill out ALL* fields on this form

for proper submission.

Second Child Discount (after May 1st) - $165.00

After submitting the registration form you have the option to

pay instantly using our paypal option below the form (preferred method) or you can manually mail your check and printed registration form to:

George Robinson

P.O. Box 360724

Melbourne, FL 32936

**If you wish to manually send in your registration form please print the paper form below. Whether you wish to register and pay online or register and pay by mail you must print and sign the LIABILITY FORM below before your child can participate in Surf Camp.

Registration Form (mail option)