San Diego Surf Basketball

Please fill out registration below thoroughly. Be sure to include email and all telephone contacts.

Location: HourGlass Arena at Miramar College 10440 Black Mountain Rd,., 92126

ONLINE REGISTRATION $65 thru December 20, $70 Dec. 21 - 28, or $75 Dec. 29.

Registrant Information

Camper's Name:
City, State Zip:
Father's Phone:
Father's Email:
Mother's Phone:
Mother's Email:
Age and Birthdate:
Height and Weight:
Grade in Fall 2014:
Allergies? Medications?:
T-Shirt size: Child S M L X XL, Adult S M L XL:

By signing here, I hereby wave and release San Diego Surf Basketball. LLC, the San Diego Surf Junior Pro Camp, and the coaches and partners, from any and all liability from injuries while at camp or arising from trabel to and from camp. Camp will not be responsible for any medical costs

Parent's Initials

ONLINE REGISTRATION cannot be completed without submiting payment.

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