Surfers Information:
Surfers First Name:
Surfers Last Name:
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Morning or Afternoon Surf Camp:	Morning Surf Camp Afternoon Surf Camp
Camp Dates: *Please check the box next to each week you wish to attend	July 2nd - 6th July 9th - 13th July 16th - 20th July 23rd - 27th July 30th - August 3rd
Number of Days per Week:	3 Days per Week 5 Days per Week
Junior Guard Program:	Manhattan Beach Hermosa Beach - 2nd St. Hermosa Beach - 16th St. El Segundo Other Not a Jr. Lifeguard
Questions/Details:
Emergency Contact Information:
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