Beach Week Registration Form

Laguna Beach // June 14th-18th // Grades 6th-12th(completed)
*100.00 deposit required to complete registration*

Student Name

Student Phone

Student Email

This address will receive a confirmation email

Mailing Address

Payment-Deposit

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

June 14th-June 18th

Please fill out this form and click submit.