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Online Registration & Credit Card Payment.
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You can NOT register for Boca Camps online (Please see Boca Registration info)



POMPANO SURF CAMP REGISTRATION FORM
Denotes Required Field

You must fill out a separate registration form for each child

Second child receives 10% off
Are you Registering more than one child ?

Other Available Discounts (one discount per customer - discounts can not be combined)

1. Multiple week discount: Receive 10% off additional sessions (excluding Session 5)

Which Camp are you Registering for
Half Day or Full Day
Which sessions are you registering For ?
NOTE: Please put a check next to ALL applicable sessions you are registering for.

Session 1: Jun 6 - 10 Session 5: Jul 5 - 8 Session 9: Aug 1 - 5
*** 4 days
Session 2: Jun 13 - 17 Session 6: Jul 11 - 15 Session 10: Aug 8 - 12
Session 3: Jun 20 - 24 Session 7: Jul 18 - 22 Session 11: Aug 15 - 19
Session 4: Jun 27 - Jul 1 Session 8: Jul 25 - 29
Child's Full Name:

Child's Date of Birth:

Month:

Day:

Year:

Child's T-shirt Size:

Child's Grade:

Child's School:

Parent 1 - Full Name:

Parent 1 - Email Address:

Type:

Contact Number 1:

Type:

 
Contact Number 2:

Street Address:

City:

State:

 
Zipcode:

Emergency Contact 1 - Full Name:

Type:

Emergency Contact 1:

Parent 2 - Full Name:

Parent 2 - Email Address:

Type:

Contact Number 1:

Type:

 
Contact Number 2:

Street Address:

City:

State:

 
Zipcode:

Emergency Contact 2 - Full Name:

Type:

  
Emergency Contact 2:

Once you have filled out everything pertaining to you, click the button below


PLEASE NOTE

1. Once you have submitted your registration, you will receive an email
directing you to our paypal account for credit card payment.

2. Your child will not be placed into any session without payment in full.
NO PARTIAL PAYMENTS!!!

3. You must download the liability release, fill out completely, sign,
and bring with you on the first day of camp.
Surf Camp Liability Release Form Download in Microsoft Word format Download in Adobe PDF format

4. Your child will not be able to participate without a signed liability release.

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