2014 CONTEST #1

September 13
th
and 14
th
Holly Ave. Garden Cty !ea"h
Name_____________________________________Birthdate________________________ AGE AS OF January 1, 2015 ______
Address_____________________________________ City __________________________State______ Zip______________
Emai___________________________________ Ce !h"ne ______________________!arent#s !h"ne____________________
$"me Chapter___________________
C"ntest Fees %&he&' "ne() *25+00 One ,i-isi"n *.5+00 /0" ,i-isi"ns *10+00 /hree di-isi"ns+

#emale Shortboard $ale Shortboard $ale%#emale &on'board
Girs 212 B"ys 212 Girs 3"n45"ard 216
Girs 211 B"ys 211 %!rime( 7"men 3"n45"ard
Girs 218 %!rime( B"ys 218 %9SA:!rime( Juni"r 3"n45"ard 216
Girs 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 50 <
Spe"al (v)on) *)ee "ompetton r+le),
Open Sh"rt5"ard ? a a4es and 4ender 3adies Sh"rt5"ard = .
B"ys @ Girs Sh"rt5"ard 210 B"ys 3"n45"ard 211
;i&r" Gr"m %n"n?&"mpetiti-e(
HOLD HARMLESS RELEASE: 9n appyin4 t" surA in Atanti& SurAin4 Federati"n surAin4 t"urnaments and e-ents, 9 pr"mise t" inspe&t the &"ntest site and assure myseA that the area is saAe
A"r surAin4, and Aurther a4ree that 9 0i n"t surA in the &"ntest uness 9 am satisAied that the area and &"nditi"ns are saAe A"r surAin4 purp"ses+ 9n eB&han4e A"r the Atanti& SurAin4 Federati"n#s
a&&eptan&e "A my entry A"rm, 9 -"untariy a4ree t" assume a ris's in&ident t" the sp"rt "A surAin4+ 9 Auy understand and &"mprehend the dan4ers "A surAin4 &reated 5y the sharp ed4es and Ains
and natura 5u"yan&y "A the surA5"ard 0hen they are a&ted "n 5y the p"0erAu A"r&es "A the "&ean and "&ean 0a-es+ 7ith Au 'n"0ed4e, &"mprehensi"n and understandin4 "A these dan4ers, 9
-"untariy a&&ept and assume a ris's in-"-ed in the spirit "A &"mpetiti-e surAin4+ 9 intend t" 5e e4ay 5"und, here5y, A"r myseA, my heirs, eBe&ut"rs and administrat"rs, h"d harmess and
reease and A"re-er dis&har4e Atanti& SurAin4 Federati"n, SurAin4 Ameri&a, any State and 3"&a 4"-ernment a4en&ies, and a sp"ns"rs and sp"ns"rin4 a4en&ies, their mem5ers, a4ents and any
"AAi&ias &"nne&ted 0ith this &"mpetiti"n, Ar"m a ia5iities 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 reease as des&ri5ed herein+
9 a&'n"0ed4e that 9 ha-e read and understand a "A the a5"-e+
9 understand that mem5ership in the Atanti& SurAin4 Federati"n in&udes re4istrati"n 0ith SurAin4 Ameri&a+ 9 as" understand that the Atanti& SurAin4 Federati"n resp"nsi5iities t" me are
imited+ 9 Aurther 4rant Atanti& SurAin4 Federati"n and SurAin4 Ameri&a the ri4ht t" ph"t"4raph, Aim, "r -ide"tape me, 0ith"ut &"mpensati"n t" me and t" use any su&h ph"t"4raphs, Aim, "r
-ide"tape A"r any &"mmer&ia purp"ses it &h""ses in&udin4, 5ut n"t imited t", p"sters, Ayers, tradin4 &ards, tee-isi"n and internet 5r"ad&ast, and a A"rms "A i&ensin4 "r ad-ertisin4+
9 a4ree that 5eA"re enterin4 any E-ent 9 sha si4n and 5e 5"und 5y a reease A"rms prepared 5y E-ent "perat"rs and sp"ns"rs, and, in additi"n, that 9 sha &"mpy 0ith a rues and re4uati"ns
"A ea&h e-ent that 9 sha enter, and 0ith the Dues "A Atanti& SurAin4 Federati"n and SurAin4 Ameri&a+ 9 understand that 9 may 5e denied entry int" an E-ent iA this Genera Deease and an
E-ent Deease are n"t si4ned 5y me+
9 Aurther a&'n"0ed4e that 9 ha-e resp"nsi5iity A"r my "0n saAety at E-ents and 9 assume a ris's, and 9 here5y, A"r myseA, my eBe&ut"rs, administrat"rs, heirs, neBt "A 'in, su&&ess"rs, and
assi4nees, a4ree t")
a+ 7ai-e, reease and dis&har4e any and a &aims that 9 n"0 ha-e "r may, in the Auture, ha-e a4ainst SurAin4 Ameri&a, the Atanti& SurAin4 Federati"n, any State and City
4"-ernment a4en&ies, their "AAi&ers, dire&t"rs, mem5ers, emp"yees, -"unteers, 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 EDeeaseesE(, in&udin4 any and a &aims A"r dama4e "r pers"na inCury &auses 5y the ne4i4en&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&udin4 the BanFuet, in&udin4 &aims resutin4 Ar"m the use "A my surA5"ard and reated
eFuipment in any e-ent and reated a&ti-ates, t"4ether 0ith any &"sts, in&udin4 att"rneysG Aees that may 5e in&urred as a resut "A su&h a &aim, 0hether -aid "r n"tH and 9 here5y
a&'n"0ed4e that the sp"rt "A surAin4, and &"mpetiti"n in su&h sp"rt, is "r may 5e inherenty dan4er"us, due t" &"nditi"ns 5ey"nd a surAerGs &"ntr", and that my parti&ipati"n in an
E-ent may, in &ertain instan&es, in-"-e ris' t" me "A seri"us inCury "r e-en "ss "A iAe+
5+ 9ndemniAy, h"d harmess and reim5urse A"r Auture "sses and Deeases and ea&h "A them, a4ainst any su&h &aim 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&udin4 att"rneysG Aees, 0ith respe&t theret"+ Su&h indemniAi&ati"n sha eBtend t" any
&aim that mi4ht 5e asserted 5y "thers a4ainst me that as" names the reeasees+
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____________________