Your Name

Your Address

Your Email (required)

How did you find out about us?

Have your child attended our camp previously? YesNo

Your Phone

Are you registering as part of a group? YesNo
If so, what last names are also part of your group?

Camper #1

Child's name:

Program choice:

Child's age:

Attendance dates:

:

Camp hours:

 

If not attending 5 days a week, please specify how many and which days you will be attending: (No 3 days camps left for the Beach/Surf Camp or advanced surf)

 

Swim Skills:

Surf Skills:

 

Is there any other information that is important or would help us provide the best experience for your child?

 

What school does your child attend?

Camper #2 or Week#2

Child's name

Program choice:

Child's age

Attendance dates:

Camp hours:

 

If not attending 5 days a week, please specify how many and which days you will be attending:

 

Swim Skills:

Surf Skills:

 

Is there any other information that is important or would help us provide the best experience for your child?

 

What school does your child attend?

Camper #3 or Week#3

Child's name

Program choice:

Child's age

Attendance dates:

Camp hours:

 

If not attending 5 days a week, please specify how many and which days you will be attending:

 

Swim Skills:

Surf Skills:

 

Is there any other information that is important or would help us provide the best experience for your child?

 

What school does your child attend?

Release From Liability and Indemnification

I certify that I am a parent or a guardian of:

and intend to enroll him/her in the above referenced activity. By signing this document, on behalf of myself and my child I agree to waive and release We Are Coaches, Inc. and its officers, agents, and employees, its owners, employees, partners, and sponsors from and against any and all claims, cost liabilities, expenses, or judgments, including attorney’s fees and court costs arising out of my child’s participation in this program or any illness or injury resulting there from except injury deliberately or willfully caused. Further, I release the City of Del Mar and their officials and employees from any and all liability.
  I understand.

 

Medical Emergency Release

In the event of sudden illness, accident or injury which may occur while said minor is engaged in activity supervised by the representatives, agents or assignees, when neither the parents, guardian or designated family physician can be contacted, I hereby give my consent pursuant to California Civil Code #25.8 for emergency treatment as shall be necessary under circumstances by any physician licensed under the Laws of the State of California and release and discharge We Are Coaches, Inc. and agents, or employees from any and all claims for personal injury.
  I understand

 

Medical Information

Family Physician:*

Phone*

Insurance Company & Policy Number

 

Emergency Information

Contact 1:*

Phone*

Contact 2:

Phone

Payment must be made within 24 hours to guarantee space. Paypal accepts credit cards and e-checks. The paypal link is located at the top of this page. Please click there to pay directly after completing this form.

How are you planning on paying us?*

 

Visual Releases

  I understand that my child might be in photographs and videos that may be used by We Are Coaches and/or its photographers for marketing purposes. I grant any or all photographers and We Are Coaches the right to use and incorporate, in whole or in part, photographs or video footage taken as a result of participating in We Are Coaches programs.

 

Cancellation policy

I may choose to change previously scheduled week(s) based on availability for an additional $10 per student.

If I cancel 7 days before the camp start day, I will be refunded 50% of camp fees. Refunds take 2 to 3 weeks to process.

If I cancel 7 days before the camp day, there will be no refund
Rain Policy: We will still meet if it is sprinkling. If it is down pouring or thunder/lightning at 8:30 am we will postpone start time to 10:30 am unless conditions are still poor. If we cancel during mid-day, we will call you for early pick-up. If we cancel due to poor weather or water conditions, we will give each student $45 credit for a future day or camp which can be used for that season or the upcoming season.

Full refund will be issued for any program canceled by We Are Coaches, Inc. Activities are subject to change due to weather or water conditions.

  I understand and agree to the above cancellation policy.