Space Coast Surf Camp   2017 Where you walk on water! We are a Christian based Company                  

Registration-Please use one form per participant 


Participants Name:                                                                                    

Parent’s Name:                                                                                    

Street Address:                                                                                 

City:                                State:                       Zip Code                       

Sex: M / F                       Age:                                                           

Telephone:                       E-Mail:                                                 


Please circle desired week of camp attendance.

   Camp 1- June 5-8

   Camp 2- June 12-15                                                                

   Camp 3- June 19-22

   Camp 4-June 26-29

   Camp 5-July 17-20

   Camp 6-July 24-27




Surfing Experience:  Extensive / Moderate / Some / None

Youth T-Shirt Size: Small / Medium / Large / XL

Adult T-Shirt Size:  Small / Medium / Large / XL


*Each participant will receive a wooden surfboard certification plaque.



Surf Camps – $185.00 after May 1st

Early Bird Discount - $165.00 before May 1st


 1-3 days only:No problem: $50/day

 Checks payable to George Robinson

Payment Method:  Cash or              Check amount enclosed:  

PAYPAL Available Upon request :e-mail us


 Questions call George@ 321-698-6169


Mail Fees and registration to:          George Robinson

                                                P.O. Box 360724

                                                Melbourne, FL 32936