Register Camper's Name (required) Birth Date: (format dd/mm/yyyy) Ability Level BeginnerIntermediate Camp Term Desired (You finalize the actual dates in the next step of checkout) Per Day - $70Per Week - $250Per Season - $1,200Private Lesson - half hour $30Private Lesson - full hour $50 Desired Day/Week (enter date) Do you need to borrow a skimboard? NoYes To size camper correctly for skimboard Height: Weight: Parent/Guardian Information Name (required) Email (required) Home Telephone Cell Phone Street City State Zip/Postal Code How did you hear about us? Waiver Agreement (I have read and agree to all terms in the waiver.) NoYes Electronic Signature (Must be signed by person completing this form) Message NOTE: Please submit a separate registration form for EACH camper. When you get to the check out page, click on "continue shopping" and you can add another camper/sibling, or add additional days/weeks to your existing order. Please leave this field empty.