LJSSA MENEHUNE CONTEST ONLINE SIGNUP AND PAYMENT 2012
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
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
Dads of Groms (DOG) Division: use signup area A: single entry
*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
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
Dads of Groms (DOG) Division: use signup area A: single entry
*Divisions may be combined depending on the number of entries
ONLINE SIGNUP AND PAYMENT (Use Credit Card or Paypal Account)
Entry DEADLINE is April 25, 2012. LATE ENTRY: you may ONLY sign up for the division
that our Contest Director approved. IF you have any questions; you may contact
Stephanie Hoffman via e-mail stephanie@ljssa.org. Early bird discounts of $5 for single
division and $10 for two division have expired. NO BEACH ENTRIES.
Entry DEADLINE is April 25, 2012. LATE ENTRY: you may ONLY sign up for the division
that our Contest Director approved. IF you have any questions; you may contact
Stephanie Hoffman via e-mail stephanie@ljssa.org. Early bird discounts of $5 for single
division and $10 for two division have expired. NO BEACH ENTRIES.
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 expired
early bird discount expired
LONGBOARD OR SHORTBOARD ENTRY
COMBINED LONGBOARD/SHORTBOARD
DIVISIONS $85 DONATION early bird discount
of $10 expired
DIVISIONS $85 DONATION early bird discount
of $10 expired
COMBINED LONGBOARD/SHORTBOARD ENTRY
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 is $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 - any amount is appreciated!
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 is $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 - any amount is appreciated!
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 of $5 expired
early bird discount of $5 expired
NOVICE DIVISION ENTRY *For those who have surfed less than 1 year
SIGN UP AREA C
6 AND UNDER DIVISION $25 DONATION
no early bird discount avail. this division
no early bird discount avail. this division
SUPERMENEHUNE 6 AND UNDER *For children under 6 years old. Adults can be in the water.
This heat is not judged. They are all winners!
This heat is not judged. They are all winners!
SIGN UP AREA D
SIGN UP AREA E
SPONSOR A SURFER - thank you!
$25, $55, $85 or other
$25, $55, $85 or other
A donation of $55 or more will get your name(s) listed in our online event program.
