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Freedom Surf Camp Fall 2019
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First Name
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Your answer
Last Name
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Your answer
Gender
*
Male
Female
Date of Birth
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MM
/
DD
/
YYYY
Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
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
No
T-shits Size
*
S
M
L
Allergies (Food, Medicine...)? Please explain:
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Food Preferences (i.e. Vegetarian, Gluten free...)?
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Additional information we need to know?
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