Indo Jax Surf School - Summer Surf Camp Registration

2023 Charity Surf Camp Registration Form

Participant Name

Parent/Guardian Name

Height

Weight

Age

Street Address

City

State

Zipcode

Email Address

Phone Number

Special Instructions - Please add any additional information that might be beneficial for us to know such as mobility issues, etc.

9:00AM-12:00PM
July 25-27

5:00PM-7:00PM
August 15-16

By checking this box you indicate that you have read and agree to the Waiver
( Click Here to Read the Waver )*

By checking here, I indicate I do NOT consent to the use of photographs or likeness of me taken by Indo Jax® Surf School for their own purposes.

*required