Presents
EAST COAST WAHINE CHAMPIONSHIPS: OFFICIAL ENTRY FORM
August 17-18, 2002 Ft. Fisher State Rec. Area, Kure Beach, NC
www.eastcoastwahines.com
Mail Entry Forms to: ECWC 1513 Futch Creek Rd. Wilmington NC, 28411
Name_________________________________ Age_____ Date of birth(m/d/y)_____________ Address______________________________________________________________________
Phone (____)_______________ Email___________________________________________
ESA member? Yes/no ESA district________
Contest check in and pre-party: Friday 6:00-8:00pm at the contest site (food and drink) Contest starts: Saturday 8am, 7am late check in.
Entry deadline: Aug 1st, 2002 or all slots filled. Call 910-686-3697 for entry questions
Please check your division/s below. Please note- This year we will determine age divisions based on entries. Don't worry, it will be very fair. All ages and divisions will be posted two weeks before the event.
Sponsored Shortboard _____ Major Sponsor __________ (if you are an advanced surfer without an industry sponsor, please contact us)
Amateur Shortboard _____ (shortboard must be less than 2ft. over your head- divisions to be determined by age)
Bodyboard _____ (if you are a sponsored bodyboarder please check here ____ divisions to be determined by age)
Amateur Longboard _____(longboard must be at least 3ft. over your head- divisions determined by age)
Pro/Am Longboard, all ages _____ ($65 entry fee- money awarded to top four)
Novice, all ages, any size board, 1st contest, cannot enter other divisions _____
Guppies, 10 and under, any size board ______
Surf Clinic, all ages ____ Circle 1st choice. Sat. 8-10am or Sat 10-noon. Beginners only, this is a learn to surf clinic, limited space!
Costs: 1 division= $35, 2 divisions=$45, 3 divisions=$60 (limit 3) Pro/Am Longboard= $65 Surf Clinic= $40
Total Divisions entered_____ Total amount enclosed_______
HOLD HARMLESS RELEASE: This release bars your rights to recover damages in the case of an accident injuring you. READ BEFORE SIGNING! In applying to the ECWC surfing tournament, I promise to inspect the contest site, and assure myself that the area is safe for surfing, and further agree that I will not surf in the contest unless I am satisfied that the area and conditions are safe for surfing purposes. In exchange for the ECWC's accepting my entry form, I voluntarily agree to assume all risks incident to the sport of surfing, I fully understand and comprehend the dangers of surfing created by the sharp edges and fins along with the natural buoyancy of a surfboard when they are acted upon by the powerful forces of the ocean and ocean waves. With full knowledge, comprehension and understanding of these dangers, I voluntarily accept and assume all risks involved in the spirit of competitive surfing. In consideration of your acceptance of my entry, I intend to be legally bound, hereby, for myself, my heirs, executors and administrators, hold harmless and release and forever discharge the ECWC, ESA, the State of North Carolina, New Hanover County, NC, the United States Surfing Federation, all ESA and ECWC National and local Sponsors, their members, agents and any officials connected with this competition, from all liabilities for injuries and damages whatsoever, arising from my presence or participation in the above described event and do hereby grant the sponsors such release as described herein. I hereby release the ECWC from any liability for accident or injury that may happen to me or my dependent during his/her stay at the contest and banquet. I acknowledge that I have read and understand all of the above. CONTESTANTS SIGNATURE:__________________________________ DATE:__________
FOR CONTESTANTS UNDER 18 YEARS OF AGE: I HEREBY CERTIFY that I am the parent or guardian of the surfer named above, and do hereby give my permission with full understanding and comprehension of the foregoing agreement to hold the aforementioned organization and governmental entities harmless any and all liabilities including any such injuries which are alleged to have occurred as a result of negligent failure of ECWC officials, judges, and directors to properly supervise contestants in the course of competition. SIGNATURE OF PARENT/GUARDIAN:_________________________________ DATE:___________