Coordinator, Tammy Kennedy Zybura (919) 852-4711, More Information available at http://www.surfdivas.com

Location

Please complete the attached entry form and forward with entry fee to:

(Entries must be received by August 3rd)

Wahine Championships

P.O. Box 542

Wrightsville Beach, NC 28480

Shortboard Longboard

Novice (First Contest Ever, any age Novice (First Contest Ever, any age

Beginner surfer)* Beginner surfer)* Menehunes (12 & Under) SurferGirls (15 & under) SurferGirls (13-18) Wahines(16-25)

Wahines (19-30) Surf Divas (26 & up)

Open Shortboard **

Bodyboard

Wahines (14-19) division surfing: test your skills against

Surf Divas (20& up) other age groups .

P.O. Box 542

Wrightsville Beach, NC

28480

Beach Entries 7AM-7:45AM ($5 Late Fee) Space Available Only.

Please check the division(s) you wish to compete in: Age Divisions change by event, see page 1

Name:_____________________________________________

Home Phone:_____________ Work Phone:_____________Street:______________________________ City:________________ State:____ Zip:_________

Age:_____

CONTESTANTS (Contestants Under 18, must have Guardian Sign), 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 without reservation and with full understanding and comprehension of the foregoing agreement to hold the aforementioned organization and government entities harmless any and all liabilities including any such injuries which are alleged to have occurred as a result of negligent failure of contest officials, judges, and directors to properly supervise contestants in the course of competition.

SIGNATURE OF PARENT OR GUARDIAN:_______________________________________________DATE:____________

HOLD HARMLESS RELEASE: This release bars your rights to recover damages in the case of an accident injuring you.

READ BEFORE SIGNING! 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 Wahine Contests’ accepting my entry fee and 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 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 sport of competitive surfing. I will further read and comply with all ESA rules and regulations, noting existing weather conditions, and do agree that I voluntarily assume all risks arising from conditions related to use of the contest site by myself and others. 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 Wahine Contest, the Eastern Surfing Association, the United States Surfing Federation, and all ESA 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 acknowledge that I have read and understand all of the above.