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COMPETITOR’S NAME
_________________________________________TEL#______________________
BJSC Membership Fees Paid: Yes / No (if No please complete BJSC membership
form and settle 2010 membership fees)
Check each event in which you will compete. REMEMBER to use your age as of January 1, 2010.
Menehune (10 & under) ____ Junior Boys (12 & under) ____ Junior Girls (12 & under) _____
Juniors (14 & under) ____ Juniors Under 16 _____ Juniors Boys (Under 18) _____
** (subject to # of entries on event date, if insufficient Girls Under 18 will surf mixed heats with the respective boys
division)
In consideration of acceptance of my application, I hereby release the Barbados Junior Surfing Club Inc. (“BJSC”),
The Burkies Junior Surfing Series, their sponsors, their members, agents, successors and assigns, and any other
persons or organization officially connected with their competition from any and all liability for any and all injuries or
damages whatsoever arising from my participation of presence at their competition. Release is also given for the use
of photos, film, or videotape. I agree to abide by all the rules and regulations involved in this event. I understand that
if I do not comply with the expected rules, regulations and conduct myself in a sportsmanlike manner, I may be
disqualified with a forfeiture of all entry monies. Furthermore, I agree to keep myself posted on any schedule changes
that may occur and understand it is my responsibility to do so. If I practice in the Contest Area, I may be disqualified.
A copy of the BJSC Rule Book is available at each contest site and can be downloaded from
http://www.scribd.com/doc/26372574/Barbados-Junior-Surfing-Club-2010-Rulebook .
________________________________________________DATE___________________
BJSC Office, "Seaspray" #108 Plover Court, Longbeach Ch. Ch. Barbados W.I.
Tel:(246) 230-2456; Fax:(246)428-7915; E-mail: burkesinc@caribsurf.com
Web: http://www.bdosjuniorsurfing.org ; Facebook: http://facebook.com/bdosjuniorsurfing