2014 CONTEST #1

September 13
th
and 14
th
Holly Ave. Garden Cty !ea"h
Name_____________________________________Birthdate________________________ AGE AS OF January 1, 2012 ______
Address_____________________________________ City __________________________State______ Zip______________
Email___________________________________ Cell h!ne ______________________arent"s h!ne____________________
#!me Chapter___________________
C!ntest Fees $%he%& !ne'( )2*+00 One ,i-isi!n ).*+00 /0! ,i-isi!ns )10+00 /hree di-isi!ns+

#emale Shortboard $ale Shortboard $ale%#emale &on'board
Girls 212 B!ys 212 Girls 3!n45!ard 216
Girls 211 B!ys 211 $rime' 7!men 3!n45!ard
Girls 218 $rime' B!ys 218 $9SA:rime' Juni!r 3!n45!ard 216
Girls 216 $9SA:rime' B!ys 216 $9SA:rime' ;ens 3!n45!ard 16 <
7!men 16 < ;ens 16 = 2> Seni!r 3!n45!ard 10 <
;asters .0 = .>
Seni!r 10 = 1>
3e4ends *0 <
Spe"al (v)on) *)ee "ompetton r+le),
Open Sh!rt5!ard ? all a4es and 4ender 3adies Sh!rt5!ard = .
B!ys @ Girls Sh!rt5!ard 210 B!ys 3!n45!ard 211
;i%r! Gr!m $n!n?%!mpetiti-e'
HOLD HARMLESS RELEASE: 9n applyin4 t! surA in Atlanti% SurAin4 Federati!n surAin4 t!urnaments and e-ents, 9 pr!mise t! inspe%t the %!ntest site and assure myselA that the area is saAe
A!r surAin4, and Aurther a4ree that 9 0ill n!t surA in the %!ntest unless 9 am satisAied that the area and %!nditi!ns are saAe A!r surAin4 purp!ses+ 9n eB%han4e A!r the Atlanti% SurAin4 Federati!n"s
a%%eptan%e !A my entry A!rm, 9 -!luntarily a4ree t! assume all ris&s in%ident t! the sp!rt !A surAin4+ 9 Aully understand and %!mprehend the dan4ers !A surAin4 %reated 5y the sharp ed4es and Ains
and natural 5u!yan%y !A the surA5!ard 0hen they are a%ted !n 5y the p!0erAul A!r%es !A the !%ean and !%ean 0a-es+ 7ith Aull &n!0led4e, %!mprehensi!n and understandin4 !A these dan4ers, 9
-!luntarily a%%ept and assume all ris&s in-!l-ed in the spirit !A %!mpetiti-e surAin4+ 9 intend t! 5e le4ally 5!und, here5y, A!r myselA, my heirs, eBe%ut!rs and administrat!rs, h!ld harmless and
release and A!re-er dis%har4e Atlanti% SurAin4 Federati!n, SurAin4 Ameri%a, any State and 3!%al 4!-ernment a4en%ies, and all sp!ns!rs and sp!ns!rin4 a4en%ies, their mem5ers, a4ents and any
!AAi%ials %!nne%ted 0ith this %!mpetiti!n, Ar!m all lia5ilities A!r inCuries and dama4es 0hats!e-er, arisin4 Ar!m my presen%e !r parti%ipati!n in the a5!-e des%ri5ed e-ent$s' and d! here5y 4rant
the sp!ns!rs su%h release as des%ri5ed herein+
9 a%&n!0led4e that 9 ha-e read and understand all !A the a5!-e+
9 understand that mem5ership in the Atlanti% SurAin4 Federati!n in%ludes re4istrati!n 0ith SurAin4 Ameri%a+ 9 als! understand that the Atlanti% SurAin4 Federati!n resp!nsi5ilities t! me are
limited+ 9 Aurther 4rant Atlanti% SurAin4 Federati!n and SurAin4 Ameri%a the ri4ht t! ph!t!4raph, Ailm, !r -ide!tape me, 0ith!ut %!mpensati!n t! me and t! use any su%h ph!t!4raphs, Ailm, !r
-ide!tape A!r any %!mmer%ial purp!ses it %h!!ses in%ludin4, 5ut n!t limited t!, p!sters, Alyers, tradin4 %ards, tele-isi!n and internet 5r!ad%ast, and all A!rms !A li%ensin4 !r ad-ertisin4+
9 a4ree that 5eA!re enterin4 any E-ent 9 shall si4n and 5e 5!und 5y all release A!rms prepared 5y E-ent !perat!rs and sp!ns!rs, and, in additi!n, that 9 shall %!mply 0ith all rules and re4ulati!ns
!A ea%h e-ent that 9 shall enter, and 0ith the Dules !A Atlanti% SurAin4 Federati!n and SurAin4 Ameri%a+ 9 understand that 9 may 5e denied entry int! an E-ent iA this General Delease and an
E-ent Delease are n!t si4ned 5y me+
9 Aurther a%&n!0led4e that 9 ha-e resp!nsi5ility A!r my !0n saAety at E-ents and 9 assume all ris&s, and 9 here5y, A!r myselA, my eBe%ut!rs, administrat!rs, heirs, neBt !A &in, su%%ess!rs, and
assi4nees, a4ree t!(
a+ 7ai-e, release and dis%har4e any and all %laims that 9 n!0 ha-e !r may, in the Auture, ha-e a4ainst SurAin4 Ameri%a, the Atlanti% SurAin4 Federati!n, any State and City
4!-ernment a4en%ies, their !AAi%ers, dire%t!rs, mem5ers, empl!yees, -!lunteers, and a4ents, !r any !ne !r m!re !A them !r their eBe%ut!rs, administrat!rs, heirs, neBt !A &in,
su%%ess!rs, !r assi4ns $the EDeleaseesE', in%ludin4 any and all %laims A!r dama4e !r pers!nal inCury %auses 5y the ne4li4en%e !A any !A them, arisin4 !ut !A my parti%ipati!n !r
attendan%e at an E-ent !r Aun%ti!n, pri!r t!, durin4 !r aAter the E-ent !r Aun%ti!n, in%ludin4 the BanFuet, in%ludin4 %laims resultin4 Ar!m the use !A my surA5!ard and related
eFuipment in any e-ent and related a%ti-ates, t!4ether 0ith any %!sts, in%ludin4 att!rneysG Aees that may 5e in%urred as a result !A su%h a %laim, 0hether -alid !r n!tH and 9 here5y
a%&n!0led4e that the sp!rt !A surAin4, and %!mpetiti!n in su%h sp!rt, is !r may 5e inherently dan4er!us, due t! %!nditi!ns 5ey!nd a surAerGs %!ntr!l, and that my parti%ipati!n in an
E-ent may, in %ertain instan%es, in-!l-e ris& t! me !A seri!us inCury !r e-en l!ss !A liAe+
5+ 9ndemniAy, h!ld harmless and reim5urse A!r Auture l!sses and Deleases and ea%h !A them, a4ainst any su%h %laim that 9 !r any!ne !r m!re !A my !r their eBe%ut!rs,
administrat!rs, heirs, neBt !A &in, su%%ess!rs, !r assi4ns may assert, and a4ainst any %!sts, in%ludin4 att!rneysG Aees, 0ith respe%t theret!+ Su%h indemniAi%ati!n shall eBtend t! any
%laim that mi4ht 5e asserted 5y !thers a4ainst me that als! names the releasees+
C!mpetit!r"s Si4nature_________________________________________________,ate____________________
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:
Si4nature !A arent !r Guardian___________________________________________,ate____________________