Ebony Beach Club — Juneteenth 2026

01

Guest Info

Personal & Emergency
Contact

Full Legal Name *

This field is required

Preferred Name

Phone Number *

This field is required

Email Address *

This field is required

Instagram Handle

Optional — for content tagging after the event.

Ticket Type *

Please select a ticket type

Emergency Contact Name *

This field is required

Relationship *

This field is required

Emergency Contact Phone *

This field is required

02

Health & Safety

Health, Dietary
& Water Safety

Palm Springs heat and a surf lagoon — we want every guest safe and taken care of.

Medical conditions we should be aware of? *

Heat sensitivity, asthma, diabetes, seizures, severe anxiety, etc. Write "None" if not applicable.

This field is required

Severe Allergies *

Food Medication Environmental None

Please select an option

If applicable, describe severity and required treatment

EpiPen, inhaler, avoidance protocol. Write "N/A" if not applicable.

Dietary Preferences or Restrictions

Select all that apply.

Swim Ability *

Confident swimmer Casual swimmer Non-swimmer / poolside only

Please select an option

Surf Lagoon Plans *

Yes — booked surf lesson Yes — open surf Surf viewing only No

Please select an option

03

Logistics

Arrival & Logistics

How are you arriving? *

EBC shuttle from LA Driving solo Carpooling Already in Palm Springs

Please select an option

If taking the shuttle, which departure?

8:00 AM 8:45 AM 9:30 AM

Staying overnight in Palm Springs? *

Yes No — returning same day

Please select an option

04

Activities

Activity Interest

So we can staff and prep accordingly. Check all you plan to enjoy.

🏄🏾 Surf Lagoon 🌊 Resort Pools / Lazy River 🎧 Amphitheater DJ Sets 🧘🏾 Yoga Flow w/ WalkgoodLA 🎯 Yard Games w/ Mr Brand New 🏐 Pickup Volleyball ✨ Just here for the vibes

05

Community

Who's In The Room

Ebony Beach Club curates community intentionally.

What do you currently do professionally? *

This field is required

Are you building or launching something? *

Briefly describe. Write "No" if not applicable.

This field is required

Open to introductions to guests with aligned interests? *

Yes Selectively Prefer to mingle organically

Please select an option

06

Documentation

Media & Content
Release

Comfortable being photographed or filmed for EBC brand storytelling? *

Yes, anywhere Yes, selectively Prefer minimal exposure

Please select an option

Consent for image use across EBC social, marketing & editorial? *

Yes No

Please select an option

Open to a brief on-site guest spotlight interview? *

Yes No Maybe

Please select an option

07

Reflection

Final Reflection

Juneteenth is freedom. Belonging. Joy. Reclamation.

What does Juneteenth mean to you, and what are you celebrating today? *

Please share your reflection

What would make today unforgettable for you? *

Please share your response

We review every response personally.
This is how we hold space with intention.

Happy Juneteenth.
— Ebony Beach Club · Palm Springs Surf Club · 06.19.2026

Juneteenth
2026.

Welcome to
Freedom Day.

Juneteenth2026.

Welcome toFreedom Day.

Juneteenth
2026.

Welcome to
Freedom Day.