12th Annual Cape Kiwanda Longboard Contest
August 7th and 8th Pacific City Oregon

------------- Official Entry Form -------------

Name:________________________________

Birthday:________________ Age:___________

Address:_______________________________

Phone:________________________________

Email:_________________________________

The entry fee is $40.00

T-shirt size (please circle one):
Small
Medium
Large
X-large
2X-large
 

Divisions (please circle one).

Womens
Kids w/parent
Kids to 12 yrs.
12 yrs. to 17 yrs.
18 yrs. - 29 yrs.
30 yrs. to 39 yrs.
40 yrs. to 49 yrs.
50 yrs. to 59 yrs.
60 yrs. and up.
Tandem

A free t-shirt is included with your entry fee.  If you would like to make sure you get a hoodie you may pre-order it with this form, please add an additional $30.00.

Hoodie size (please circle one):
Small
Medium
Large
X-large
2X-large
 

Total amount enclosed: ___________________

Release:
By signing this form, I agree to all contest rules.  I agree surf only in my heat and within the designate area.  I will display good sportsmanship in and out of the water.  Any violation will be subject to disqualification, including forfeit of entry fee and contest points. I give my permission to have any video or pictures taken to be published or broadcasted as well as contest results. I am aware of the dangers and cautions of surfing and agree not to compete if I am unsure of the conditions. I agree to hold only myself accountable for any injury or damage that may occur during the surf contest. In addition,  I understand that surfing is an inherently dangerous sport. By my participation in this activity and contest I hereby assume all risks associated therewith including (but not limited to): weather conditions, surf conditions, marine flora and fauna, other surfers, spectator, geography, equipment malfunction, and negligence . I furthermore agree to hold harmless the sponsors, officials, and organizers harmless for any personal injury or property damage I may suffer as a result of my participation in this event or for any negligent act or omission associated there within.

By signing this form, I hereby certify that I am 18 years of age and have read and understand this release or am under 18 and my parent or legal guardian have signed along with my signature.

Signature: _______________________________________

Date: ______________________________________

Parent/Legal Guardian: _____________________________

Date: ______________________________________

Cape Kiwanda Longboard Contest
 

We’re working through a few changes and will post the new address soon.  If you need to contact us please use the contact page link. Thanks!

All Rights Reserved. Copyright 2010.  CapeKiwandaLongboardContest.com

 

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