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2017 LOGGER HEADS MALIBU CLASSIC Scotts Head Friday 21st Sat 22nd Sun 23rd JULY 2017 Surfers can enter only one age division, plus either Opens, Old Mal or Logging Division. FIRST ENTRY $60.00, then 2nd $55.00 Multiple family entries discount, 2nd family member $40.00. Entry system = First in – best dressed. Return Entry & CHEQUE to: LOGGER HEADS M.C. C/- Manda Godfrey 203 Grassy Head Rd. Grassy Head NSW 2441 Entry fee will be accepted by direct debit to Logger Head Malibu Club BSB No. 533 -000 Acc No. 90141 Banana Coast Credit Union & please note your name within Bank Deposit Reference section. Entry form must be filled in, signed & posted to above address. Allow 1 week, then contact Manda on 0414898112 or confirm.

ENTRY TAKEN ON RECEIPT OF PAYMENT. NO REFUNDS AFTER 1st JULY 2017. Social functions & competitors draws will be at Scotts Hd Bowling & Rec. Club & SLSC. ALL SURFERS MUST REGISTER & JUDGE THE HEAT – TWO PRIOR TO THEIRS. Failure to reg/judge = your not there & a reserve may take your spot. Accommodation – Scotts Hd Caravan Pk 6569 8122

………………….CUT ……………………AND …….……………..RETAIN ……….………….TOP ………………………FOR………….…………YOUR ……………………INFORMATION ……………….

ENTRY FORM.

Name:………………………………………………………..……..…DOB:……………………...………Ph:……………………………………..…………...……

Address:…………………………………………………………………………………………..…….……P/C.…………….……. T-Shirt Size ……………..

Mobile:………………………………………………..………….……… Email address ……………………………………………………………………….

2nd Family Entrant;Name:……………………………………………………………………...(attach separate form)

DOB:………………………DIV…………...... T-Shirt Size ……………….

I, the undersigned; agree to release the Logger Heads Malibu Club Inc..the organizers ; officials and all affiliated groups, all sponsors and any other parties from any liability, loss and damage (of whatsoever nature and howsoever arising) incurred whilst travelling to and from; or participating in or being present at the abovementioned event. I understand that all judges’, officials’ and organisers decisions are final and no correspondence will be entered into. Competitors under 18 years must have their entry signed by a parent or guardian. I confirm that I am suffering no illness or health issues that may put me or my fellow competitors at risk due to my participation. I grant permission for my email address to be available to event sponsors.

SIGNED:…………………………………..PRINT NAME:…………………………………………………PARENT/GUARDIAN……………………………….……………

SIGNED:………………………………….PRINT NAME:………………..………………………………PARENT/GUARDIAN………………………….…………..……

Payment $...... TickChequeDirect Credit Office Use …………………

Direct debit to - Logger Head Malibu Club BSB No.533 -000 Acc No. 90141 Banana Coast Credit Union & please note your name within Bank Deposit Reference section.