To: surf@richardschmidt.com
Cc: [required-email]
Subject: [required-CampSession] - [required-last], [required-first] 
From: REG Form


CONTACT INFO
------------------------------
formID = [formID]

First = [required-first]
Last = [required-last]

Address = [required-Addr1]
Second Addr Line = [Addr2]
City = [required-City]
State_Prov = [required-StateProv]
PostCode = [required-ZIp.pcode]
Country = [required-Country]
Phone = [required-Phone]
BDay = [required-BirthMonth]/[required-B_Day]/[required-BYear]
(mm/dd/yyyy)

Email = [required-email]

Previous Participant = [PreviousParticipantYN]
Contact Info Changed = [InfoChangeYN]

SURF CAMP INFO
-------------------------------------
Camp Choice = [required-CampSession]
Promo Code = [Promo_Code]
Surf Experience = [required-Experience]
Need Wetsuit? = [required-WetsuitYN]
Gender = [Gender]
Height_Ft = [HT-Feet]
Height_In = [HT-Inches]
Weight = [Weight]
TShirt Size = [TShirt]

COSTA RICA ONLY
----------------------------------
Board_Type = [BoardType]

Referred By = [referral]
ref-other = [ref-other]


EMERGENCY INFO
-------------------------------------
Emergency Contact = [required-EmergName]
Emergency Phone = [required-EmergPhone]
Food|Med Restrictions = [Med_Conditions]
Insurance? = [InsuranceYN]
Insurance Company = [InsuranceCo]


MEDICAL PERMISSION for MINORS
--------------------------------------
Minor Emergency Name = [EmergencyNameKids]
Minor Emergency Phone = [EmergencyPhoneKids]
Restricted Activities = [Restricted Activities]
Minor Authorized for care = [MinorName]
Med Permission Agree = [MedPermissionCk]


SURF CAMP POLICY
----------------------------------------
Parent Policy OK = [ParentPolicyAgree]
Camper Policy OK = [CamperPolicyAgree]

NOTES = [NOTES]


source = [contactSrc]
.
.

Thank you for your Surf Camp Registration.
Please mail your deposit or payment to ________________.
We look forward to seeing you at _________ to ________ Surf Camp

If you have more questions or there is something
we can help you with, please call us at 831-423-0928.


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