Atlantic Surfing Championships

Atlantic Surfing Championships 2014 October 10th, 11th and 12th Sebastian Inlet, Florida

Name______Birthdate______AGE AS OF January 1, 2014 ______Address______City ______State______Zip______Email______Cell Phone ______Parent’s Phone______Home Chapter______Entry Fee: $100.00 Per Division First Division ______Amount Enclosed ______Second Division ______Amount Enclosed ______Third Division ______Amount Enclosed ______Fourth Division ______Amount Enclosed ______

Total Enclosed ______

Female Shortboard Male Shortboard Male/Female Longboard Special Divisions Girls U12 Boys U12 Girls Longboard U18 Boys & Girls Shortboard U10 Girls U14 Boys U14 (Prime) Women Longboard Ladies Shortboard – 30 + Girls U16 (Prime) Boys U16 (ISA/Prime) Junior Longboard U18 Open Shortboard Girls U18 (ISA/Prime) Boys U18 (ISA/Prime) Mens Longboard 18 + Boys Longboard U14 Women 18 + Mens 18 – 29 Senior Longboard 40 + Masters 30 – 39 Senior 40 – 49 Legends 50 +

HOLD HARMLESS RELEASE: In applying to surf in Atlantic Surfing Federation surfing tournaments and events, I promise to inspect the contest site and assure myself that the area is safe for surfing, and further agree that I will not surf in the contest unless I am satisfied that the area and conditions are safe for surfing purposes. In exchange for the Atlantic Surfing Federation’s acceptance of my entry form, I voluntarily agree to assume all risks incident to the sport of surfing. I fully understand and comprehend the dangers of surfing created by the sharp edges and fins and natural buoyancy of the surfboard when they are acted on by the powerful forces of the ocean and ocean waves. With full knowledge, comprehension and understanding of these dangers, I voluntarily accept and assume all risks involved in the spirit of competitive surfing. I intend to be legally bound, hereby, for myself, my heirs, executors and administrators, hold harmless and release and forever discharge Atlantic Surfing Federation, Surfing America, the States of New York, New Jersey, Virginia, North Carolina, South Carolina, and Florida. the local host city, The Department and Board of Trustees of the Internal Improvement Trust Fund of the State of Florida, the Florida Department of Environmental Protection, the Sebastian Inlet State Park, and all sponsors and sponsoring agencies, their members, agents and any officials connected with this competition, from all liabilities for injuries and damages whatsoever, arising from my presence or participation in the above described event(s) and do hereby grant the sponsors such release as described herein.

I acknowledge that I have read and understand all of the above.

I understand that membership in the Atlantic Surfing Federation includes registration with Surfing America. I also understand that the Atlantic Surfing Federation responsibilities to me are limited. I further grant Atlantic Surfing Federation, Surfing America, and the Florida State Park, the right to photograph, film or videotape me, without compensation to me and to use any such photographs, film, or videotape for any commercial purposes it chooses including, but not limited to, posters, flyers, trading cards, television and internet broadcast, and all forms of licensing or advertising.

I agree that before entering any Event I shall sign and be bound by all release forms prepared by Event operators and sponsors, and, in addition, that I shall comply with all rules and regulations of each event that I shall enter, and with the Rules of Atlantic Surfing Federation and Surfing America. I understand that I may be denied entry into an Event if this General Release and an Event Release are not signed by me.

I further acknowledge that I have responsibility for my own safety at Events and I assume all risks, and I hereby, for myself, my executors, administrators, heirs, next of kin, successors, and assigns agree to: a. Waive, release and discharge any and all claims that I now have or may, in the future, have against Surfing America, the Atlantic Surfing Federation, the hosting city and the States of New York, New Jersey, Virginia, North Carolina, South Carolina, and Florida. the local host city, The Department and Board of Trustees of the Internal Improvement Trust Fund of the State of Florida, the Florida Department of Environmental Protection, the Sebastian Inlet State Park, all sponsors and sponsoring agencies, their officers, directors, members, employees, volunteers, and agents, or any one or more of them or their executors, administrators, heirs, next of kin, successors, or assigns (the "Releasees"), including any and all claims for damage or personal injury causes by the negligence of any of them, arising out of my participation or attendance at an Event or function, prior to, during or after the Event or function, including the Banquet, including claims resulting from the use of my surfboard and related equipment in any event and related activates, together with any costs, including attorneys' fees that may be incurred as a result of such a claim, whether valid or not; and I hereby acknowledge that the sport of surfing, and competition in such sport, is or may be inherently dangerous, due to conditions beyond a surfer's control, and that my participation in an Event may, in certain instances, involve risk to me of serious injury or even loss of life. b. Indemnify, hold harmless and reimburse for future losses and Releases and each of them, against any such claim that I or anyone or more of my or their executors, administrators, heirs, next of kin, successors, or assigns may assert, and against any costs, including attorneys' fees, with respect thereto. Such indemnification shall extend to any claim that might be asserted by others against me that also names the releasees.

Competitor’s Signature______Date______

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:

Signature of Parent or Guardian______Date______

Accommodation Information:

DoubleTree (Host Hotel) Melbourne Oceanfront 1665 N Hwy A1A, Melbourne, FL 32903 (321) 723-4222 www.doubletreemelbournebeach.com

Discounted Room Rate for ASF Competitors until September 15, 2014 Mention ASF Championships when you call to make your reservation

Sea Shell Suites Resort 8975 S. Highway A1A Melbourne, Florida 321-409-0500 www.seashellsuites.com

Surfcaster Motel (Pet Friendly) 5935 S Highway A1A Melbourne, Florida 321-723-1967 www.surfcastermotel.com

Turtle Run Ocean Suites 4945 Highway A1A Melbourne, Florida 321-633-6400 www.turtlerunoceansuites.com

Ocean Pines Motel 5055 Highway A1A Melbourne, Florida 321-728-7019 www.oceanpinesmotel.com

Sebastian Inlet 9700 S. State Road A1A Melbourne Beach, Florida 321-984-4852 www.floridastateparks.org/sebastianinlet/

Inlet Marina Campground 9502 S Highway A1A Melbourne, Florida 321-724-5424 http://sebastianinlet.com/camp.htm