Pipe-2019 Entry Form

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North Shore Surf Girls Presents the World Championship of Women's Bodyboarding In Memory of Don & Josie Over Pipeline – North Shore - Oahu Hawaii March 21, 2019 – April 3, 2019 NAME__________________________________ DATE OF BIRTH ____________________________ HOME ADDRESS_________________________________________________________________________ COUNTRY REPRESENTING__________________________________________________________ ENTRY DEADLINE March 15, 2019 ENTRY FEE $150.00 US Dollars Payble to Hawaii Surfing Promotions CONTEST INFORMATION www.northshoresurfgirls/pipecontest2019 ENTRY IS LIMITED TO THE FIRST 50 CONTESTANTS CALL SNN for SURF REPORTS DAILY 808-596-7873 RELEASE: To enter this contest, I promise to inspect the contest site and assure that the area is safe for competition. I agree that I will not participate in the contest unless I am satisfied that the area and conditions are safe. I understand that the Banzai Pipeline the wave is an advanced surfer/bodyboarder spot and I attest that I am physically fit and have trained for this event. By signing below I am accepting all contest rules. I understand that I cannot threaten, verbally or physically abuse anyone related to his events. I understand that my image may be used internationally in conjunction with this event. In consideration of your acceptance of my entry, I intend to legally bound here by for myself, my heirs, executors and administrators, hold myself harmless and release the City and County of Honolulu, The State of Hawaii, Banzai Productions, Bodyboard Productions INC., Hawaii Surfing Promotions staff and officials, all sponsor and related parties. SIGNATURE_______________________________________DATE___________________________ EMERGENCY CONTACT ____________________________ TEL#___________________________ FOR CONTEST UNDER 18: I HERBY CERTIFY THAT I AM THE PARENT/LEGAL GUARDIAN OF THE CONTESTANT NAMED ABOVE AND I DO GIVE MY CONSENT WITH OUR RESERVATIONS TO ALL FORGOING AND AGREE TO HOLD AFOREMENTIONED FROM ANY LIABLITY. I ALSO GIVE MY CONSENT FOR MEDICAL TREATMENT IF NEEDED BY ONSITE OR TRANSPORT STAFF. Guardian/Parent Signature_______________________________Date___________________________ Dear Athlete, You have been invited to represent your country in international competition at the World Championship of Women's Bodyboarding at the Banzai Pipeline on the North Shore of Oahu. The event will be a one day contest, held on the most contestable day of surf on the dates between March 21 – April 3, 2019. Please fill our the attached entry form and email it to [email protected]. Entry fee's will be collected at Ehukai Beach Park on a date to be announced. email [email protected] for more information..

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