Ross Taylor ENTRY FORM 2014 pdf loo .pdf


Nom original: Ross Taylor ENTRY FORM 2014 pdf loo.pdf
Auteur: MICHELLE

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Email: rosstaylorsurf@gmail.com

Nicky: 083 412 4598
Louise: 072 467 1665

www.rosstaylorsurfcontest.co.za

Date 8 – 10 August 2014
BUFFALO BAY KNYSNA

Ross Taylor Surf Contest

LADIES EVENTS (18+ years)
Longboard
Shortboard
SUP open
SUP novice
SUP flat water race

MENS EVENTS (18+ years)
Longboard
Shortboard
Kneeboard
SUP open
SUP novice
SUP flat water race

TEEN CLASSIC (12 – 18 years )
Girls Under 16
Girls Under 18
Boys Under 16
Boys Under 18
SUP girls (sea)
SUP boys (sea)
SUP flat water race

GROMS

(under 12 years )

Girls
Boys
SUP girls (sea)
SUP boys (sea)
SUP girls (flat water race)
SUP boys (flat water race)

Closing date for entries 7 August
2013
BALLIES (40+ years)

Longboard
Shortboard
SUP open
SUP novice
SUP flat water

Developments
Girls
Boys
SUP girls (sea)
SUP boys (sea)

PLEASE TICK THE DIVISION YOU WOULD LIKE TO ENTER
NB : CONTESTANT AGE DETERMINED AS AT 1 JANUARY 2014.
FULL NAME : _____________________________________________

COST :
Over 12 yrs
: R 150.00
Under 12 yrs
: R 100.00
all second entries: R 100.00

ID NUMBER : _____________________________________________
:
CELL NO
: _____________________________________________

ALL PROCEEDS RAISED IN AID
OF HOSPICE
Please send proof of payments to
Email : rosstaylorsurf@gmail.com
Fax : 086 440 1399

Account name
Bank
Account number
Branch code
Reference :

:
:
:
:
:

E- MAIL

: _____________________________________________

EMERGENCY CONTACT: __________________________________
Please note : in the case of a minor, the signature of a parent
or legal guardian is required
Ross Taylor Surf Contest
Nedbank Knysna
102 545 2534
198 765
Please use your name and surname

INDEMNITY : I hereby declare, that by signing this entry form, That I am familiar with all hazards that may exist in connection with
my participation in the programs and activities of the Ross Taylor Contest. I Voluntarily assume the risk of any injury, death or loss of
property that I may sustain in connection with my participating in The Ross Taylor Surf Contest, and hereby fully indemnify, release
and forever discharge Nature Sport Company and their respective officials, the promoters and sponsors of The Ross Taylor Surf
Contest, the city, Municipality and Province and where applicable, their respective agents and employees, from all claims, damages,
actions, suits or judgements that may result from any cause whatsoever sustained or incurred by me whilst participating in or in
connection with The Ross Taylor Surf Contest. Knowing and Voluntary Execution: I have carefully read this agreement and fully
understand its contents. I sign this agreement of my own free will.

SIGNATURE OF PARTICIPANT / GUARDIAN _______________________________________________


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