Freedom Surf Camp Fall 2019

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First Name *

Last Name *

Gender *

Male

Female

Date of Birth *

YYYY

Address *

City *

Zip Code *

Phone Number *

Email *

Can you swim? *

Yes, I'm comfortable bodysurfing

Yes, I'm experienced in the ocean

Yes, in the deep end of a pool

Yes, in the shallow end of a pool

No, please teach me how to swim

Surf skill level *

Experienced surfer

Medium (surf on a regular basis)

Beginner (have surfed 1-3 times)

I have never surfed

Do you need a rental surfboard? *

Yes

T-shits Size *

Allergies (Food, Medicine...)? Please explain:

Food Preferences (i.e. Vegetarian, Gluten free...)?

Additional information we need to know?

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