This is the 2nd part of the registration process. If you haven't already, register and pay for membership at: surfsss.surfsignup.com, register, and pay. Students Name* First Last Date of Birth* Surf Team*» Select TeamHS State Champs - Individuals CompetitionMiddle School State ChampsAgoura HSAliso Niguel HSAnacapa MSArmy Navy AcademyArroyo Grande HSAviara Oaks MSBalboa MSBernice Ayer MSBishops HSCabrillo MSCalabasas HSCalavera Hills MSCanyon Crest HSCapistrano Valley HSCapo Beach Christian MSCarlsbad HSCathedral Catholic HSChristian UnifiedClairemont HSClassical AcademyCoronado MSCoronado HSCorreia MSCrane MSDana Hills HSDana Point MSDiegueno MSDiscovery MSDon Juan Avila MSDos Pueblos HSEarl Warren MSEastlake HSEdison HSEl Camino HSEl Toro HSFallbrook HSFrancis Parker HSGranite Hills HSGrauer HSGrossmont HSHalf Moon Bay HSHalf Moon Bay Middle SchoolHenry Steele HSHigh Tech Middle SchoolHigh Tech SCHorizon ChristianHuntington Beach HSImperial Beach MSJ Serra HSLa Costa Canyon HSLa Jolla HSLa Jolla Country Day HSLaguna Beach HSLos Alamitos HSLos Cerritos MSLoyola HSMalibu MS BlackMalibu MS WhiteMalibu HSMarco Forster MSMar Vista HSMedea Creek MSMission Bay HSMission Hill MSMission Hills HS, SDMission Vista HSMoorpark HSMorro Bay HSMount Carmel HSMuirlands MSMUSE School HSMUSE School MSNiguel Hills MSOak CrestOak Park HSOceanside MSOceanside HSOxnard HSPacific Beach MSPacific Ridge HSPalisades Charter HSPalos Verdes HSPoint Loma HSRancho Bernardo HSRancho Buena Vista HSSage Creek HSSan Clemente HSSan Dieguito HSSan Elijo MSSan Juan Hills HSSan Marcos HS, San DiegoSan Marcos HS, Santa BarbaraSanderling Waldorf MSSanta Barbara High SchoolSanta Barbara Junior HighSanta Barbara Middle SchoolSanta Fe Christian HSSanta Fe Christian MSSanta Margarita HSSanta Monica HSSanta Monica MSScotts Valley MSSerra HSShorecliffs MSSt. Augustine-OLP - HSSt. James - MSSt. Margarets - HSSt. Monica Catholic - HSSteele Canyon - HSTesoro - HSThurston - MSTorrey Pines - HSTri-City HSUniversity City - HSValley - MSVentura - HSVilla Nova - HSVista del Mar - MSWaldorf HS, SDWestlake HSWestview HSWilson HSEmergency Medical AuthorizationEmergency Contact*Phone*HEALTH INSURANCE?YES, I HAVE INSURANCENO, I DO NOT HAVE INSURANCEInsurance Carrier*Group #*Subscriber Name*ID #*Family Doctor*Doctor's PhoneDate of Last Tetanus ShotAllergiesMedical Condition(s) to be aware ofNameThis field is for validation purposes and should be left unchanged.