OFFICIAL ENTRY FORM
9th ANNUAL
EAST COAST
Name_________________________________ Age (on contest day)_____ D.O.B (m/d/y)_____________
Address______________________________________________________________
Phone (____)_______________ Email___________________________________________
Entry deadline: Aug 10th, 2005 or all slots filled.
Entry Questions? Email:
erin@eastcoastwahines.com
PLEASE
CHECK THE DIVISION YOU WOULD LIKE TO ENTER BELOW
You may enter no more than 2 divisions
Pro Shortboard ($75)_____
Pro Longboard ($75)_____
(If you are entering one pro division and one am division, the total fee will be $100)
Amateur Divisions ($40 for one division, $55 for two divisions)
Shortboard_____ Longboard______
Bodyboard_____
(divisions will be assigned by age to ensure maximum # of competitors)
Guppy Surf (10 and under)_____ Guppy Bodyboard (10 and
under) _____
(Guppies may enter just
one division)
Novice, all ages, any size board, 1st contest ever_____ (may not enter other divisions)
Family Discount- Three or more family members competing? Take $30 off the total fee for 3 competitors.
I would
like to purchase a parking pass for $10_____ ( good for any metered or pay lot in WB 8/20-21)
Total Divisions entered_____ Total
amount enclosed_______
Please Make Checks payable to ECWC. Mail Entry Forms to: ECWC,
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, Surfing American, 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.SIGNATURE OF PARENT/GUARDIAN:_________________________________ DATE:___________