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Member Registration Form

Please fill out the the following form and submit to be listed on the site.

If you would like to submit pictures for your bio, e-mail them to me.   

    First Name       Last Name   

    E-Mail Address

    Age           Years Surfing                

    What year did you join the club?          

    Favorite Break   

    What kind of board(s) do you ride?

   

    Other interests and hobbies