You are on page 1of 1

$15,000 Pro Purse & Great Prizes For All Amateur Finalists!!!

Name:_____________________________________Phone:______________________E-mail Address:__________________________________________________
Address:___________________________________City:________________________State:______Zip:______________________________________________
Emergency Contact Name & Phone:__________________________________ Contestants Date of Birth:____________ Age as of 7/1/15(Division):__________
Entry Fees: Guppies - $15

Amateur - $50

Division(s) Competing In (circle): Guppies

Professional - $150
Guys14&U

Guys15&O

GuysLB

GirlsOpen

GirlsLB

Professionals

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 ONeill-LaJolla Group / ONeill Wetsuits / Sweetwater Surf Shop / Red Bull / Nixon / wblivesurf.com / Smith / Pacifico / Eastern Surf Supply / Wave Riding Vehicles / Hope For Helen / Tower 7 /
Red Dogs / Surf Berry / Surf Camp / Stance / Vitos Pizza / Live Oak Bank / Reeds Jewelers / Clean Energy Events / Coyle Industries / WB Oral Surgical / Jerry Allens / Evolution / Roberts Grocery / Halcyon Enterprises, Inc and
Beach Enterprises , 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 ONeill-LaJolla Group / ONeill Wetsuits / Sweetwater Surf Shop / Red Bull / Nixon / wblivesurf.com / Smith / Pacifico / Eastern Surf Supply / Wave Riding Vehicles / Hope For Helen / Tower 7 /
Red Dogs / Surf Berry / Surf Camp / Stance / Vitos Pizza / Live Oak Bank / Reeds Jewelers / Clean Energy Events / Coyle Industries / WB Oral Surgical / Jerry Allens / Evolution / Roberts Grocery / Halcyon Enterprises, Inc and
Beach Enterprises , 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 of 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 agree that, noting existing weather conditions, I voluntarily assume all risks arising from conditions related to use of the contest site by myself and others. I give ONeill-LaJolla
Group / ONeill Wetsuits / Sweetwater Surf Shop / Red Bull / Nixon / wblivesurf.com / Smith / Pacifico / Eastern Surf Supply / Wave Riding Vehicles / Hope For Helen / Tower 7 / Red Dogs / Surf Berry / Surf Camp / Stance / Vitos
Pizza / Live Oak Bank / Reeds Jewelers / Clean Energy Events / Coyle Industries / WB Oral Surgical / Jerry Allens / Evolution / Roberts Grocery / Halcyon Enterprises, Inc and Beach Enterprises , permission to arrange to telecast,
show, or print and publish any and/or all pictures taken of me (movie, video, or still) in conjunction with said event. 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 ONeill-LaJolla Group / ONeill Wetsuits / Sweetwater Surf Shop / Red Bull / Nixon / wblivesurf.com / Smith / Pacifico / Eastern Surf Supply / Wave Riding Vehicles / Hope
For Helen / Tower 7 / Red Dogs / Surf Berry / Surf Camp / Stance / Vitos Pizza / Live Oak Bank / Reeds Jewelers / Clean Energy Events / Coyle Industries / WB Oral Surgical / Jerry Allens / Evolution / Roberts Grocery / Halcyon
Enterprises, Inc and Beach Enterprises, Wrightsville Beach, New Hanover County, State of North Carolina, 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.
Signature of Contestant:

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
aforegoing agreement to hold the aforementioned organizations 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 ONeill-LaJolla
Group / ONeill Wetsuits / Sweetwater Surf Shop / Red Bull / Nixon / wblivesurf.com / Smith / Pacifico / Eastern Surf Supply / Wave Riding Vehicles / Hope For Helen / Tower 7 / Red Dogs / Surf Berry / Surf Camp / Stance / Vitos
Pizza / Live Oak Bank / Reeds Jewelers / Clean Energy Events / Coyle Industries / WB Oral Surgical / Jerry Allens / Evolution / Roberts Grocery / Halcyon Enterprises, Inc and Beach Enterprises , surfing tournament officials, judges,
and directors to properly supervise contestants in the course of competition.
Signature of Parent or Guardian:

Date:

Quick Bio to be used by contest MC: Hometown:______________________; Surfing Accomplishments:________________________________________________;


Favorite Surfers:___________________________________________; How Many Years Surfing:________; Favorite Surf Spot:______________________________;
Last Surf Trip:__________________________________________; Other Hobbies: __________________________________________________________________;
Favorite Music:________________________; Best Movie___________________; Best Day Surfing:__________________________________________________.
Entry Deadline is Monday, July 13th, 2015 (Beach entries only accepted if space is available)

Make Checks Payable to: Pro-Am Surf Fest (full entry fee has to be paid for each additional division)
Drop off entry form and check at Sweetwater Surf Shop OR mail to: Sweetwater Pro/Am Surf Fest
PO Box 151
Wrightsville Beach, NC 28480

Enter Now Space Limited!

You might also like