Ocean View Fishing Pier - Fishing Camp Registration

INFORMATION RESTAURANT TACKLE SHOP HEAD BOATS PIER GEAR EVENTS
BANQUET FACILITIES PURCHASE A PLANK VIRTUAL TOUR DIRECTIONS CONTACT FISHING CAMP

Fishing Camp Registration

*Name:
  Address:
  City:
  State:
  Zip Code:
*Home Phone:
  Cell Phone:
*Email Address:

*Camper 1 Name:
*Camper 1 Age:
  Camper 2 Name:
  Camper 2 Age:

Please mark which session(s) your child will attend
   TO BE DETERMINED
   TO BE DETERMINED

{"fields_to_validate":{"sendername":{"required":1,"message":"Please enter a valid name","rule":"\/^[a-zA-Z0-9\\s]+$\/","description":"alpha-numeric with spaces"},"camper1name":{"required":1,"message":"Please enter a valid name","rule":"\/^[a-zA-Z\\s]+$\/","description":"alpha only with spaces"},"camper1age":{"required":1,"message":"Please enter a valid age","rule":"\/^[0-9]+$\/","description":"numeric only"},"camper2name":{"required":0,"message":"Please enter a valid name","rule":"\/^[a-zA-Z\\s]+$\/","description":"alpha only with spaces"},"camper2age":{"required":0,"message":"Please enter a valid age","rule":"\/^[0-9]+$\/","description":"numeric only"},"emailaddress":{"required":1,"message":"Please enter a valid email address","rule":"\/^[a-zA-Z0-9._-]+@[a-zA-Z0-9.-]+.[a-zA-Z]{2,4}$\/","description":"email format"},"phone":{"required":1,"message":"Please enter a valid phone number","rule":"\/^\\(?[1-9]\\d{2}\\)?-?\\s?\\d{3}\\-?\\d{4}$\/","description":"phone format"},"cell":{"required":0,"message":"Please enter a valid phone number","rule":"\/^\\(?[1-9]\\d{2}\\)?-?\\s?\\d{3}\\-?\\d{4}$\/","description":"phone format"}},"checkboxes":{"session":{"quantity":4,"number_required":1,"message":"Please check one"}}}

Thank you for filling out our registration form. We will respond to you soon!

Ocean View Fishing Pier © 2021 | Developed by GoGo Advertising