2018 5-Day Surf Camp

5 Day Summer Surf Camp $320

Registration Information

Which week of surf camp will you be attending?

First Name (camper) *

Last Name *

Date of Birth (camper) *

Gender *

Have you been to our surf camp before? *

Have you surfed before? *

Where do you attend school?

Address *

City *

State *

Zip Code *

Email Address *

Confirm Email *

Phone Number * - -

Emergency Contact Phone Number *

How did you hear about our camp? *

Other (if selected above)

Lunch ($5 per day) [$25.00]

If yes, any food allergies or specifications?

Would you be interested in an after school surf program?

Total $320.00

Billing Information

Payment Method Credit Card

First Name *

Last Name *

Card Type *

Card Number *

Expiration Date *

Security Code *

Address *

City *

State *

Zip/Postal Code *

Terms & Conditions

Liability Release for Billabong Camps presented by Padre Island Surf Camp

This is an important document. You must read it, understand it and sign it to be allowed to participate in the Billabong Camps/Padre Island Surf Camp activities. By signing this agreement, you waive certain legal rights, including the right to sue.

I, the parent or guardian, affirm, acknowledge, and understand the inherent hazards and risks associated with surfing, skin-diving, skim boarding, kayaking, swimming, and all the ocean and shore activities conducted by Billabong Camps/Padre Island Surf Camp. I understand the hazards which may arise from these activities can lead to severe and permanent injury and even death.

Despite the potential hazards and dangers associated with surfing, skin-diving, skim boarding, kayaking, swimming, and all the ocean and shore activities conducted by Billabong Camps/Padre Island Surf Camp, I wish to proceed and freely accept and expressly assume all risks, dangers and hazards which may arise from these activities and which could result in personal injury, death, and property damage to my child or ward.

In consideration of being allowed to participate in Billabong Camps/Padre Island Surf Camp as well as being allowed to use any of the facilities and equipment of the below listed releases, I hereby agree as follows:

To waive and release any and all claims I may have in the future against any of the following unnamed persons or entities (hereinafter referred to as Releasees): all instructors, including Billabong Camps/Padre Island Surf Camp, its staff, volunteers, Nueces County and the city of Corpus Christi, and the Parks and Recreation Department, its officers, clients, employees and agents.

To release and hold harmless the Releasees, their officers, directors, employees, representatives, agents and volunteers, from all liability and responsibility whatsoever, for any claim or cause of action (lawsuit) that I, my estate, heirs, executors or assigns may have for personal injury, property damage or wrongful death arising from water-borne illness, snorkeling, surfing, skin-diving, skim boarding, body boarding, kayaking, swimming, and all ocean and shore activities conducted by Billabong Camps/Padre Island Surf Camp whether caused by the active or passive negligence of the Releasees or otherwise.

Acknowledge I am not relying on any oral or written representation or statements made by the Releasees other than what is set forth in this Release. This Agreement shall be governed by and interpreted in accordance with the laws of the state of Texas.

REFUNDS:
There will be no refunds given for any reason. This includes weather conditions, surf conditions, and illness. If for some reason you cannot make the day(s) you signed up for, a credit will be given for future camps held Padre Island Surf Camp. If Padre Island Surf Camp cancels camp, then we will offer an opportunity to attend camp another time at no extra cost.

ACKNOWLEDGEMENT AND CONSENT:
I acknowledge that Billabong Camps/Padre Island Surf Camp may compile and use the name, likeness, recorded voice, photographs, film and videos of the names participant in advertising, marketing, product content, packaging or other use, without the compensation and without restriction as to duration, geography, media or frequency. I consent to such uses and hereby waive all rights to compensation.

RELEASE OF LIABILITY:
In consideration of your accepting this registration, I hereby agree to indemnify and hold harmless the Nueces County and the city of Corpus Christi and any of its officers, agents, or employees from any liability or claim or action for damages resulting from or in any way arising out of the participation in the program by the person registered and hereby certify that my child is a competent swimmer.

EMERGENCY AUTHORIAZATION:
I, the undersigned parent or legal guardian of the above minor, hereby authorize Billabong Camps/Padre Island Surf Camp and its affiliates and/or the identified Emergency Contact to act as my agents in the capacity of activity supervisors and vehicle drivers, to consent to medical, surgical, or dental examination and/or treatment.

I agree to the terms above