SurfearNEGRA ¡100 Girls! Application
¡Bienvenidos!

Thank you for your interest in the ¡100 Girls! program. This program was designed to expose young girls of diverse backgrounds to the sport of surfing through surf camp funding, community-building and mentorship.

Please complete the below application and submit. Due to limited resources, acceptance is on a first come, first serve basis.

Applicants under 18 years old MUST have permission and provide all contact information of the legal guardian to participate. A consent and release form will be required for every selectee.

Any questions should be directed to:

Attn: ¡100 Girls! Program Manager
Info@SurfearNEGRA.com
Email address *
Name *
First and last name
Age *
Email *
*If under 18 y/o, provide the contact information of your legal guardian.
Phone number *
*If under 18 y/o, provide the contact information of your legal guardian.
Geographic Location *
(City, State)
Preferred Beach *
*Which region or beach will be closest to your geographic location during the 2019 summer season?
Swimming Proficiency *
Surf Camp Affiliation *
(include surf camp reference code if you know which camp you want to attend)
Provide a brief statement of why you want to participate in the ¡100 Girls! program. *
(200-500 words)
A copy of your responses will be emailed to the address you provided.
Submit
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