INNER RHYTHM SURF CAMP REGISTRATION FORM

Applications need to be filled out in full and accompanied by a $250 deposit. Our long weekend adult camps fill up quickly so register early!

Applications can be submitted:
By phone: 250-726-3456 or 1-877-393-SURF
On-line Fill in this secure registration form.
Mail: Inner Rhythm Surf Camp, Box 421, Ucluelet B.C., V0R 3A0

Payments can be made using cash, Visa, M/C or certified cheque.

When the application has been processed, you will receive a telephone call confirming your booking and once deposit has been received we send out a confirmation letter, an information package, recipt and any other info requested at time of booking. .

If you do not receive this letter within two weeks of registration please call our office at 1-877-393 SURF

Today's Date
Camp Date Desired
Surfer's Name
Male Female  
Surfer's E-mail Address
Address
City
P/C
Home Phone
Camp type 2 day camp
3 day long weekend camp
Work Phone
Wetsuit Information: Height
Weight
Medical Conditions
Allergies

 

Payment Information

Name on Card:
Credit Card Number:
Exp. date:
MM: YY:
Card Type:

By entering this information I am authorising payments according to the following schedule:

A deposit of $250/camp upon booking. The balance must be paid in full 14 days before the start of the session date. Payment can be made by money order, cheque (insufficient funds $50 charge), Visa or MasterCard. Our cancellation policy is 14 days before the start of the session date ($20 administration fee will apply) anything less than 14 days is non-refundable.

........................................................................................................................

The surfer has read and agrees to the conditions of the participants waiver (see below)

Your information is never shared and is kept secure using 128bit SSL and an additional AES algorithm with a 128-bit key. It protects this key using the RSA Public Key algorithm with a 2304-bit modulus.

Participants Waiver


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