Note: This application must be completed by a parent or legal guardian!

Directions: Carefully read the directions in each box to make sure all information is entered properly. This information will be used in case of emergency and therefore should be as accurate as possible.

IF you are planning to sign up for multiple Surf Camp sessions, or IF you will be attending with a sibling:
1. Complete this application normally for each session/camper.
2. After you pay for your second session/sibling, you will receive a refund for the discount.

IF you are part of the SUMMER CHAMPS program:
1. Enter your Summer Champs number where designated below.
2. Once you reach the payment screen, you may exit the application. Your reservation will be manually confirmed in our system.

Email Address
Important camp information will be sent to this email address!
Please use an email account you check frequently!



Camper Information
Do not leave any fields blank.

Only sessions with availability are listed


Maine Summer Champs Information
Enter your Summer Champs number if applicable, otherwise leave blank.

Parent Information
Fill out ALL applicable fields. If a field does not apply, leave it blank.

Emergency Contact Information
You must provide TWO emergency contacts.

1.

2.

If you chose "Other" for Emergency Contact 2, please enter the full name below

Medical Information
This information is important to us and ensures that we are able to meet your campers needs. Leave blank if no information applies.

Camp Pick Up
Please indicate any person that may be picking up your child from camp.

Who is authorized to pick up this child? (check all that apply)
    Mother     Father     Guardian     Other (please specify below)

   

Surf Experience
This information is helpful but not required.

Additional Information
Please specify any additional information that you feel may be important to us. If none, leave blank.

How Did You Hear About Surf Camp
Helpful, but not required.