Luminate Surf and Skate
A Community Oriented Surf Brand

Child's First Name*

Child's Last Name*

Address

Street 1*

Street 2

City*

State*

ZIP*

Contact Information

Parent/Guardian's First Name*

Parent/Guardian's Last Name*

Home Phone*

Cell phone*

Email*

Additional Information

Age*
789101112

Height*
feet inches

Weight*

T-shirt size*
Y-XSY-SY-MY-LY-XLA-SA-M

Do you have your own surfboard?*
 yes no

Do you have your own wetsuit?*
 yes no

Please check the week(s) you would like to register for*
 Week 1: 6/25 - 6/29 Week 2: 7/9- 7/13 Week 3: 7/23 - 7/27 Week 4: 8/6 - 8/10 Week 5: 8/20 - 8/24

How are you planning to pay?*
 I will pay with a check or cash I will pay online with PayPal I will with credit card over the phone

2012 SURF CAMP RATES

Weekly Session: $295
2 Week Session: $529 (10% discount!)
3 Week Session: $749 (15% discount!)
Family of Two: $529 (per week)
Family of Three: $749 (per week)

Additional Notes

Inclement Weather Policy: In the event that torrential rain/ thunder & lightning creates an unsafe environment for campers, parents will be notified that morning of camp cancelation. Make up days will be permitted any day during the following sessions of camp. In the event of a rain day during the 5th Session, a make up day will be held Monday August 27th, 2012. Please give us at least 24 hour notice as to which day your child will be making up the missed day by calling Luminate at 781-834-2755

Cancellation Policy: Cancellations must be made 14 days prior to the start of camp to receive a full refund. No refunds will be given if camp is canceled within 14 days of camp session, or during session. No refunds will be given for missed days, tardy days, or early dismissals. No refunds will be given after the completion of camp.

PLEASE NOTE: YOUR SPOT WILL NOT BE RESERVED UNTIL PAYMENT HAS BEEN RECEIVED.

I have read all the terms and conditions*