CHRIS CROCKER MEMORIAL SUMMER SURF FEST JULY 14TH AND 15TH AT HAMLET AVE CAROLINA BEACH, NCposted 6/12/2012 6:33:35 AM
CHRIS CROCKER MEMORIAL SUMMER SURF FEST
JULY 14TH AND 15TH AT HAMLET AVE
CAROLINA BEACH, NCHEATS START AT 7AM
NAME_________________________________ AGE _______ DATE OF BIRTH______________ADDRESS______________________________CITY______________STATE____ZIP________
DEADLINE TO ENTER IS JULY 9THENTRY FEE IS $30 FOR EACH DIVISION. PRO EVENT IS $100. TEAM IS $10 PER TEAM MEMBER.
PLEASE CHECK EACH EVENT YOU’LL BE COMPETING IN YOUR AGE AS OF 7/14/2012
SHORTBOARD DIVISIONS LONGBOARD DIVISIONS
Novice ___ ($15 for novice) Girls 14 and under ___
10 and under ___ Women 18 and under ___
14 and under ___ Ladies 19 and up ___
16 and under ___ Menehune 12 and under ___
Open-all ages ___ Jr men ages 13-18 ___
Men ages 19-30 ___
Masters ages 31-40 ___
Grand masters over 40 ___
SPECIALTY DIVISIONS TEAM NAME ____________ 4 man team from different amateur ages
Noseriding ___ Team members (1)________________________
Vintage Longboard ___ (2)________________________
SUP ___ (3)________________________
PRO LONGBOARD ___ $100 ENTRY FEE (4)________________________
TOTAL FEES ENCLOSED ____________
Please make checks payable to ESA-SNC PO. Box 542, Wrightsville Beach, NC 28480
RULES: ESA Rules of Competition. Teams will be given points for each member’s progress in the competition. Highest amount of points wins.
In consideration of acceptance of my application, I hereby release the esa-snc district and it’s volunteers, the City of Carolina Beach & all sponsors, their members, agents, successors & assigns, any other persons or organizations officially connected with this competition from any liability for any or all injuries or damages whatsoever arising from my participation or presence at this competition. Release is also given for the use of photos, film or videotape. I agree to keep myself posted on any schedule changes that may occur & understand it’s my responsibility to do so.
Competitor Signature________________________________________________________________ Date: ____________
Guardian/Parent Signature of Competitors 18 years & younger: _________________________________ Date: ____________
ENTRY FORM MUST BE SIGNED TO COMPETE IN THE COMPETITION.