Operation Amped
Camp Pendleton 2023

Warrior Registration

Warrior Registration:

Welcome to Operation Amped 2023 Warrior Registration! We have two options for registration this year. Warriors can either complete the E-Registration form on this webpage, or download the registration PDF form using the link in the next section below.
We are incredibly excited and looking forward to a great event this year. We have been hard at work throughout the year to make this 2023 surf weekend unforgettable.
If there are any questions, issues, or errors with your submission, please email registration@operationamped.org
Thank You and we are all very excited to see you on September 29th!

Warrior Registration

First name

Last name

Email

Phone

Total persons in your party

Vehicle Make (ex. Honda)

Vehicle Model (ex. Civic)

Vehicle Color

Vehicle License Plate #

Drivers License Number

Date of Birth

Additional Occpants

Participant Disability (be specific as to physical and/or cognitive elements)

Date of last siezure

Electric?

% of time in chair

Type of aid

Type of siezure

Siezure Medication(s)

List Medications

List allergens (Please include all allergens including food and animals)

List dietary restrictions

List activity restrictions

Please list what they assist you with

Please list any conditions, issues, concerns that Operatio Amped should be aware of

When and where?

How did you hear about Operation Amped?

Review the Operation Amped Informed Consent and Waiver of Liability

Review

I hereby agree to the terms and conditions outlined by the Operation Amped Informed Consent and Waiver of Liability

I consent to the user of my image or photograph at Operation Amped events to be used for marketing and promotional material

Thank you for registering for Operation Amped 2023 Camp Pendleton. Please scroll down for logistics information

Manual Registration

Use only if not able to complete the E-Registration above.

1 / Download the PDF

Please use the link to download the registration form

2 / Fill out PDF

Use Adobe or another PDF reader to fill out the form

3 / Email PDF Form

Please email the form to registration@operationamped.org

Download

Logistics

Map

Map on the right shows location of the gate and the event

Operation Amped
Camp Pendleton 2023

Warrior Registration

Warrior Registration

Manual Registration

2 / Fill out PDF

3 / Email PDF Form

Logistics

HELP US MAKE WAVES

ADDRESS

EMAIL

Operation Amped Camp Pendleton 2023

Warrior Registration

Warrior Registration

Manual Registration

2 / Fill out PDF

3 / Email PDF Form

Logistics

HELP US MAKE WAVES

ADDRESS

EMAIL

Operation Amped
Camp Pendleton 2023