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42nd Annual Absecon Island Surfing Championship
Contest Entry Form

Date:   August 26th 2017              No surf date:  August  27th 2017

 

Time: 7: 00am sharp
No Beach Entries
Place: Ventnor Pier, Cornwall Ave and the Beach
Entry Fee per Division: $15.00

You can only surf within your age bracket

Sponsored by the City of Ventnor, Board of Recreation Commissioners

Make CHECKS PAYABLE to Ventnor Recreation

Return Entries to: Absecon island surfing
P.O. Box 2399 Ventnor, NJ 08406
DO NOT LEAVE ENTRIES AT ANY SURF SHOPS

Registration deadline is two days prior to the contest date

Divisions:
Squirts 10 & under
Menehue 11 - 12
Boys 13 - 14
Jr. Men 15 - 17
Men 18 - 24
Masters 25 - 34
Sr. Men 35 - 44
Gr. Masters 45 - 54                        Legends  55 - 64

Gr. Legends 65 & up

Teeny Wahine 12 & under             Wahine  13 - 17
 Women 18 & up                         

Longboard 18 +


************ Ages As of  August  2017 **********

Please Note: There are only 18 entries per division. First come first serve. No exceptions.



All contestants receive a T -Shirt
All 1st place division winners except squirts, longboard and teeny wahine, will compete in a surf-off to determine the 2017 Absecon Island Surfing Champion


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NAME______________________________________

DOB___________________

ADDRESS___________________________________________________

CITY_________________________ STATE______________

ZIP______________

PHONE___________________ AGE_________

DIVISION ________________

IF LONGBOARD 18 & UP IS SURFED AS A SECOND DIVISION ADD $10.00     YES  /  NO


PLEASE MAKE ALL CHECK PAYABLE TO : VENTNOR CITY RECREATION
IN CONSIDERATION OF ACCEPTING THIS ENTRY, I THE SIGNATORY, ASSUME FULL RESPONSIBILITY FOR ANY INJURY OR ACCIDENT WHICH MAY OCCUR DURING THE EVENT OR WHILE I AM ON THE PREMISES OF THE EVENT. I HEREBY HOLD HARMLESS THE CITY OF VENTNOR, ANY SPONSOR, PROMOTION, EVENT SUPERVISORY PERSONNEL AND REPRESENTATIVES, AND ALL OTHER PERSONS ASSOCIATED WITH THIS EVENT. I VERIFY THAT I AM PHYSICALLY FIT AND AM SUFFICIENTLY TRAINED FOR THIS EVENT AND MY PHYSICAL CONDITION CAN BE VERIFIED BY A MEDICAL DOCTOR. I ALSO UNDERSTAND AND AGREE THAT THE ORGANIZERS MAY USE FOR PUBLICITY OR PROMOTIONAL PURPOSE MY NAME AND/OR PHOTOGRAPHS, VIDEOTAPES, TELEVISION BROADCASTS, MOTION PICTURES AND RECORDING OF ME PARTICIPATING IN THIS EVENT WITHOUT OBLIGATION TO ME. I ALSO UNDERSTAND THAT ENTRY FEES ARE NOT REFUNDABLE.


__________________________________________________ SIGNATURE

DATE__________________


__________________________________________________
PARENT SIGNATURE IF APPLICANT IS UNDER 18

 

"Surfing is life, the rest is details".

Absecon Island Surfing