Register

DIRECTIONS : Please choose your method of payment and follow the directions below. Full payment is required to reserve your child's space. Thank you very much!

Registering by Check - Please click on the yellow "Download File" icon directly below this message. Print and fill out the registration form after downloading. Write your check out to PV Surf, then mail your check and registration form to the following address: PO Box 1161, PVE, CA 90274.

pv_surf_camp_-_registration_form.docx
File Size:	17 kb
File Type:	docx

Download File

Registering by Credit Card - Please fill out the registration form below and click "submit". You will then be re-directed to our PayPal site in which you may pay by Credit Card or PayPal.

REGISTRATION

* Indicates required field

Parent/Legal Guardian's Name *

First

Last

Name of Camper *

First

Last

Age *

Choose One *

Male Female

Date of Desired Session 1 *

Date of Desired Session 2 *

Date of Desired Session 3 *

Do you need a Wetsuit? *

Do you need a soft surfboard? It's ok to bring your own if you wish. *

Email *

Home Phone Number *

Cell Phone Number *

Work Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact - Phone Number *

Which school your child attends *

Special Needs/Allergies *

How did you hear about us? *

I, the undersigned, being parent, legal guardian, or person in charge of the above named minor participant, in consideration of being permitted to participate in the surf camp program, do hereby give permission for said minor to participate and do release P.V. Surf, its officials, camp instructors, employees, of any and all liability or responsibility arising from any injury received or incurred by participation in this program or its activities. I further understand that water activities are dangerous and accidents can happen. I also understand that my child must be a good swimmer and is capable of participation in ocean water activities. I also give permission for the camp director to make any emergency decision needed for the safety of my child. It is also understood that jelly fish, stingrays, etc. are all part of the ocean's hazards, and will not hold any of P.V. Surf's personnel liable. Any pictures taken during the camps may be used in future publications for P.V. Surf. Please print your name below acknowleging you have read the terms. *

Please check box if you agree to the terms: *

I read the terms and agree

Please print your name here acknowledging your agreement to the terms above. *

Submit

Instructions - After submitting this form you will be directed to our payment page. Full payment must be received in order to reserve your space. Thank you very much.