$20,000 Pro Purse & Great Prizes For All Amateur Finalists!!!
Name:_____________________________________Phone:______________________E-mail Address:__________________________________________________
Address:___________________________________City:________________________State:______Zip:______________________________________________
Emergency Contact Name & Phone:__________________________________ Contestant’s Date of Birth:____________ Age as of 7/1/11(Division):__________
Entry Fees: Guppies - $10
Amateur - $45
Division(s) Competing In (circle): Guppies
Professional - $150
Guys14&U
Guys15&O
GuysLB
GirlsOpen
GirlsLB
Professionals
Hold Harmless Release: This release bars your rights to recover damages in the case of an accident injuring you.
Read Before Signing: In applying to Reef / Sweetwater Surf Shop / wblivesurf.com / Spy / Dakine / Eastern Surf Supply / Tower 7 / Red Dog’s / Kona Brewing Co / JS Surfboards / Red Bull / Land Rover Cape Fear / Clif
Bar / King Neptune / The Clontz Newkirk Real Estate Group / Surf Camp/ Skullcandy/ VF Corporation/ Café Del Mar / Action Sports Now.com / Marine Warehouse Center / Suzuki Marine / Stance / Carolina Skiff/ Frank
Williams Building Co / Western Atlantic Pro Surf Series / Vito’s Pizza / ESM / Hampton Inn / Clean Energy Events / Coyle Industries / Christmas Light Pro / Scuba Now / Intracoastal Marcello Caliva, surfing tournament, 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 Reef / Sweetwater Surf Shop / wblivesurf.com / Spy / Dakine / Eastern Surf Supply / Tower 7 / Red Dog’s / Kona Brewing Co / JS Surfboards / Red Bull / Land Rover Cape Fear / Clif Bar / King Neptune / The
Clontz Newkirk Real Estate Group / Surf Camp/ Skullcandy/ VF Corporation/ Café Del Mar / Action Sports Now.com / Marine Warehouse Center / Suzuki Marine / Stance / Carolina Skiff/ Frank Williams Building Co /
Western Atlantic Pro Surf Series / Vito’s Pizza / ESM / Hampton Inn / Clean Energy Events / Coyle Industries / Christmas Light Pro / Scuba Now / Intracoastal Marcello Caliva, accepting my entry fee and 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 of fins along with natural buoyancy of a surfboard when they are acted
upon 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 sport of competitive surfing. I
will further agree that, noting existing weather conditions, I voluntarily assume all risks arising from conditions related to use of the contest site by myself and others. I give Reef / Sweetwater Surf Shop / wblivesurf.com /
Spy / Dakine / Eastern Surf Supply / Tower 7 / Red Dog’s / Kona Brewing Co / JS Surfboards / Red Bull / Land Rover Cape Fear / Clif Bar / King Neptune / The Clontz Newkirk Real Estate Group / Surf Camp/ Skullcandy/
VF Corporation/ Café Del Mar / Action Sports Now.com / Marine Warehouse Center / Suzuki Marine / Stance / Carolina Skiff/ Frank Williams Building Co / Western Atlantic Pro Surf Series / Vito’s Pizza / ESM / Hampton
Inn / Clean Energy Events / Coyle Industries / Christmas Light Pro / Scuba Now / Intracoastal Marcello Caliva, permission to arrange to telecast, show, or print and publish any and/or all pictures taken of me (movie, video,
or still) in conjunction with said event. In consideration of your acceptance of my entry, I intend to be legally bound, hereby, for myself, my heirs, executors, and administrators, hold harmless and release and forever Reef /
Sweetwater Surf Shop / wblivesurf.com / Spy / Dakine / Eastern Surf Supply / Tower 7 / Red Dog’s / Kona Brewing Co / JS Surfboards / Red Bull / Land Rover Cape Fear / Clif Bar / King Neptune / The Clontz Newkirk
Real Estate Group / Surf Camp/ Skullcandy/ VF Corporation/ Café Del Mar / Action Sports Now.com / Marine Warehouse Center / Suzuki Marine / Stance / Carolina Skiff/ Frank Williams Building Co / Western Atlantic Pro
Surf Series / Vito’s Pizza / ESM / Hampton Inn / Clean Energy Events / Coyle Industries / Christmas Light Pro / Scuba Now / Intracoastal Marcello Caliva, Wrightsville Beach, New Hanover County, State of North Carolina,
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 and do hereby grant the
sponsors such release as described herein. I acknowledge that I have read and understand all of the above.
Signature of Contestant:
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 aforegoing agreement to hold the aforementioned organizations and government entities harmless any and all liabilities including any such injuries which are alleged to have occurred as a result of
negligent failure of Reef / Sweetwater Surf Shop / wblivesurf.com / Spy / Dakine / Eastern Surf Supply / Tower 7 / Red Dog’s / Kona Brewing Co / JS Surfboards / Red Bull / Land Rover Cape Fear / Clif Bar / King Neptune
/ The Clontz Newkirk Real Estate Group / Surf Camp/ Skullcandy/ VF Corporation/ Café Del Mar / Action Sports Now.com / Marine Warehouse Center / Suzuki Marine / Stance / Carolina Skiff/ Frank Williams Building Co
/ Western Atlantic Pro Surf Series / Vito’s Pizza / ESM / Hampton Inn / Clean Energy Events / Coyle Industries / Christmas Light Pro / Scuba Now / Intracoastal Marcello Caliva, surfing tournament officials, judges, and
directors to properly supervise contestants in the course of competition.
Signature of Parent or Guardian:
Date:
Quick Bio to be used by contest MC: Hometown:______________________; Surfing Accomplishments:________________________________________________;
Favorite Surfers:___________________________________________; How Many Years Surfing:________; Favorite Surf Spot:______________________________;
Last Surf Trip:__________________________________________; Other Hobbies: __________________________________________________________________;
Favorite Music:________________________; Best Movie___________________; Best Day Surfing:__________________________________________________.
Entry Deadline is Monday, July 11th, 2011 (Beach entries only accepted if space is available)
Make Checks Payable to: Reef- Sweetwater Pro-Am (full entry fee has to be paid for each additional division)
Drop off entry form and check at Sweetwater Surf Shop OR mail to:
Wblivesurf – Pro/Am
PO Box 187
Wrightsville Beach, NC 28480
Enter Now – Space Limited!