Youth Adventure Registration Form
Where surfing is just the beginning
Attendee Information
Please fill details below.
Please select one of the dates below
Participants Name
*
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Email Address
*
example@example.com
Emergency contact number
-
Area Code
Phone Number
Participants age
Monday, April 15th. Western region - Select your transportation pick-up or drop-off location
NO pick up needed - parent/guardian will drop and collect
Wauchope Train station - 8:20am
Thrumster - McDonalds Car park - 8:35am
Clifton shops 8:45am
Monday, April 15th. Southern region - Select your transportation pick-up or drop-off location
NO pick up needed - parent/guardian will drop and collect
Bonny Hills surf club 8:10am
Lake Cathie skate park 8:20am
Lighthouse Beach plaza, between tavern and shops 8:35am
Waniora shops, Waniora parkway 8:40am
Where did you hear about this program?
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