Flying Point Surf Camp Registration

Step 1 How many people will be learning to surf?

Please provide full names: Parent 1 Name: Parent 1 Email: Parent 1 Phone: Surfer 1 Name: Surfer 1 Age: Surfer 1 Street: Surfer 1 City: Surfer 1 State: Surfer 1 Zip:

Parent 2 Name: Parent 2 Email: Parent 2 Phone: Surfer 2 Name: Surfer 2 Age: Surfer 2 Street: Surfer 2 City: Surfer 2 State: Surfer 2 Zip:

Parent 2 Name: Parent 3 Email: Parent 3 Phone: Surfer 3 Name: Surfer 3 Age: Surfer 3 Street: Surfer 3 City: Surfer 3 State: Surfer 3 Zip:

Parent 4 Name: Parent 4 Email: Parent 4 Phone: Surfer 4 Name: Surfer 4 Age: Surfer 4 Street: Surfer 4 City: Surfer 4 State: Surfer 4 Zip:

Parent 5 Name: Parent 5 Email: Parent 5 Phone: Surfer 5 Name: Surfer 5 Age: Surfer 5 Street: Surfer 5 City: Surfer 5 State: Surfer 5 Zip:

Step 2

If surfers are split between full and half day camp, please submit separately for each camp. Thank you.

Half Day Full Day

Will anyone in your group require special accommodations?

Yes No

Please explain below:

Step 3 Surf Camp Begis June 14 Pick your starting date:

Number of days:
1 2 3 4 5

Step 4 Are you ready to surf?

220 Hampton Road, Southampton, NY 11968 • 516.885.6607 •
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