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LJSSA MENEHUNE CONTEST ONLINE SIGNUP AND PAYMENT
Male Female 16 - 18 yrs Longboard Shortboard
Male Female 13 - 15 yrs Longboard Shortboard
Male Female 10 - 12 yrs Longboard Shortboard
Male Female 7 - 9 yrs Longboard Shortboard
Male Female 6 yrs & under Super Menehune not judged
Novice Division: For individuals who have surfed for a year or less.
Male Female 10 yrs & under Longboard / Shortboard combined
Male Female 11 – 14 yrs Longboard / Shortboard combined
*Divisions may be combined depending on the number of entries
Male Female 13 - 15 yrs Longboard Shortboard
Male Female 10 - 12 yrs Longboard Shortboard
Male Female 7 - 9 yrs Longboard Shortboard
Male Female 6 yrs & under Super Menehune not judged
Novice Division: For individuals who have surfed for a year or less.
Male Female 10 yrs & under Longboard / Shortboard combined
Male Female 11 – 14 yrs Longboard / Shortboard combined
*Divisions may be combined depending on the number of entries
ONLINE SIGNUP AND PAYMENT (Use Credit Card or Paypal Account)
Entry DEADLINE MONDAY APRIL 23, 2012 LATE ENTRY: you may ONLY sign up for the division that our
Contest Director approved. Questions? Contact Stephanie Hoffman via e-mail stephanie@ljssa.org.
Early bird discounts of $5 for single division and $10 for two divisions expires April 1, 2012
Entry DEADLINE MONDAY APRIL 23, 2012 LATE ENTRY: you may ONLY sign up for the division that our
Contest Director approved. Questions? Contact Stephanie Hoffman via e-mail stephanie@ljssa.org.
Early bird discounts of $5 for single division and $10 for two divisions expires April 1, 2012
LA JOLLA SHORES SURFING ASSOCIATION LIABILITY RELEASE AGREEMENT
II the undersigned being an adult agree to assume all the risks for injuries arising out of my participation or my dependent in any
activity sponsored by the La Jolla Shores Surfing Assoc. and make no claim or agents by reason of my said participation, or the
participation of my dependent. I understand that the person whose name appears on this online registration form is voluntarily
participating in the activity, and the La Jolla Shores Surfing Assoc. provides no insurance, and will not pay any medical expenses
arising out of any injury associated with this event. I further represent that I or my dependent, am or is physically able to
participate in said activity. I acknowledge that I or my dependent voluntarily participate in the event at my own risk.
II the undersigned being an adult agree to assume all the risks for injuries arising out of my participation or my dependent in any
activity sponsored by the La Jolla Shores Surfing Assoc. and make no claim or agents by reason of my said participation, or the
participation of my dependent. I understand that the person whose name appears on this online registration form is voluntarily
participating in the activity, and the La Jolla Shores Surfing Assoc. provides no insurance, and will not pay any medical expenses
arising out of any injury associated with this event. I further represent that I or my dependent, am or is physically able to
participate in said activity. I acknowledge that I or my dependent voluntarily participate in the event at my own risk.
SINGLE DIVISION $55 DONATION
early bird discount $5 off.
early bird discount $5 off.
COMBINED LONGBOARD/SHORTBOARD ENTRY $85 DONATION
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IMPORTANT PLEASE READ CAREFULLY
SIGNUP AREA A: Single entry in longboard or shortboard is $55.00 donation
SIGNUP AREA B: Combined longboard or shortboard entries are $85 donation
SIGNUP AREA C: Novice Divisions (surfed 1 year or less) is $55.00 donation
SIGNUP AREA D: 6 Years Old and Under (NOT JUDGED) $25.00 donation
SIGNUP AREA E: Sponsor a Surfer Donation: $25, $55, $85 or other amount*
* Must be $55 or more to be listed in event program.
LIABILITY RELEASE: By including the parent or guardians name you agree to the following liability release:
SIGNUP AREA A: Single entry in longboard or shortboard is $55.00 donation
SIGNUP AREA B: Combined longboard or shortboard entries are $85 donation
SIGNUP AREA C: Novice Divisions (surfed 1 year or less) is $55.00 donation
SIGNUP AREA D: 6 Years Old and Under (NOT JUDGED) $25.00 donation
SIGNUP AREA E: Sponsor a Surfer Donation: $25, $55, $85 or other amount*
* Must be $55 or more to be listed in event program.
LIABILITY RELEASE: By including the parent or guardians name you agree to the following liability release:
SIGN UP AREA A
SIGN UP AREA B
NOVICE DIVISION $55 DONATION
early bird discount $5 off
early bird discount $5 off
NOVICE DIVISION ENTRY *For those who have surfed less than 1 year
SIGN UP AREA C
6 AND UNDER DIVISION
$25 DONATION
$25 DONATION
SUPERMENEHUNES
For boys and girls under 6 years old.
Adults may be in the water with the kids.
This heat is not judged.
They are all winners!
For boys and girls under 6 years old.
Adults may be in the water with the kids.
This heat is not judged.
They are all winners!
SIGN UP AREA D
10 YEARS & UNDER
11 TO 14 YEARS
Photos
Help us to "Sponsor a Surfer" by making an extra donation today! Your "extra" sign
up to "Sponsor A Surfer" will go towards entry fees for low-income families. A donation of $55 more
will be listed in our event program. THANKS!
up to "Sponsor A Surfer" will go towards entry fees for low-income families. A donation of $55 more
will be listed in our event program. THANKS!
early bird discount $10 off
SIGN UP AREA E
SPONSOR A SURFER
$25, $55, $85 or other
$25, $55, $85 or other
A donation of $55 or more will get you name(s) listed
in our event program. thank you!
in our event program. thank you!
no early bird discount for this division
Contestant Name and age on 04/28/12: