Little Surf Co. Institute 2026/2027 School Year Registration and Payment Form

For program options and details, please review our website first before completing this registration. (https://www.littlesurfcoinstitute.com/programs)

IMPORTANT UPDATE: Some Classes / Programs have filled on certain days and are currently on a waitlist

(please email littlesurfco@gmail.com if you would like to be added to the waitlist for one of those classes/programs, otherwise, you may register for other programs/days)
Little Surf Co. Institute 2026/2027 School Year Registration and Payment Form

Please fill out One Registration and Payment Form Per Student
Student Name*

First NameLast Name
Grade Level Child is entering
Student Birth Date*

MonthDayYear
Date
Parent/Guardian Name (*additional Parent/Guardian can be added after onboarding) *

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Questionaire
Student Surf Skill Level (if surfing, if not put N/A)*
Allergies/Additional Special Needs Required*
Do you have reliable transportation?*
Marital Status*
Members living in the household. Please list all names, ages, and whether any of them are convicted. If convicted, please explain.
Special Interests of the child.*
Please list any and all behavioral tendencies or learning disabilites we should be aware of. Please be detailed.*
Previous School/Program History. Please list the last 3 schools/programs your child attended and reasons for leaving?*
What attracted you to the Little Surf Co. Institute?*
Why do you think your child is a good fit for our program?*
Questions/Comments/ Additional information we should be aware of?*
Program Registration Selection

Pick your programs and add on's
LSC Learning Center (11:15AM-2:45PM)
Choose one
LSC Learning Center - Attendance (Choose days of attendance)

MT (TK, K, 1st, 2nd, & 4th Grade — Sold Out)WTh (TK, K, 1st, 2nd, & 4th Grade — Sold Out)F
LSC Little Ocean Explorers Preparatory (11:15AM-2:45PM)
Choose one
LSC Little Ocean Explorers Prep- Attendance (Choose days of attendance)

MTWThF
Surf and Science Academy (8:30AM-10:45AM)
Choose one
Surf and Science Academy- Attendance (Choose days of attendance)

MT (Sold Out)WThF
Morning Enrichment Add On (9:15AM-10:45AM)
Choose one
Morning Enrichment- Attendance (Choose days of attendance)

MTWThF
Morning Beach Program Add On (9:15AM-10:45AM)
Choose one
Morning Beach Program- Attendance (Choose days of attendance)

MTWTh (Sold Out)F
Payment Options
Will you be using charter funds?
Which Charter School are you contracted with?

My Products*

Registration Fee: Surf Programs: Surf & Science Academy

$165.00 Quantity

Registration Fee: Learning Center Product Image

Registration Fee: Learning CenterPrograms: Learning Center or Little Ocean Prep

$165.00 Quantity

Total

$0.00

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Cancellation Policy: Little Surf Co. Institute Programs
*Little Surf Co. reserves the right to cancel a contract or remove a child/family from our program at any time, exercising discretion to ensure the optimal learning environment for all participants.
Date Signed*

MonthDayYear
Date
Parent/Guardian Signature*

Powered by Jotform SignClear
Morning Beach Program-Attendance (Choose days of attendance)

MTWTh (Sold Out)F
LSC Learning Center- Attendance (Choose days of attendance)

MT (TK & 4th Grade — Sold Out)WTh (TK & 4th Grade — Sold Out)F
Should be Empty:

Little Surf Co. Institute 2026/2027 School Year Registration and Payment Form

Student Questionaire

Program Registration Selection