SDSA Registration Form

San Diego Surfing Academy Surf Camp
Registration Form

1-800-447-SURF(7873) or 760-230-1474
FAX 760-230-1475

Mail or FAX this form to:

San Diego Surfing Academy LLC, PO Box 866, Cardiff by the Sea, CA 92007

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Session(s) #_______ Dates____________ to ____________

_____ Please find enclosed my non-refundable, yet transferable deposit of $800.00 US per person. I am aware that the balance of $700.00 is due 30 days before my desired session.

_____ Full payment of $1500 is enclosed.

If paying by credit card, Name on the card:______________________________

Circle type of credit card: VISA MC DINERS DISC

Credit Card#_________________________________________

Date of Expiration: Month_____ Year_____

Name(s)______________________________________________

Street_______________________________________________

City_________________________________________________

State__________________________Zip Code______________

Email Address________________________________________

Home Phone________________Work Phone_________________

Circle One: Male Female

Age:_________ Height __________ Weight __________

Please tell us a little about your surfing background and what you hope to accomplish through the surf camp:

_________________________________________________________________________________