Site hosted by Build your free website today!

2006 Official Entry Form- right click and print


Final leg of the Florida Skimboarders Crossover Tour

FRI - SAT - SUN August 18th,19th,20th VILANO BCH., FLORIDA


(Crossover Tour is an invite only Tournament across Central Florida prior to Skimboard event)

Every Contestant receives an Official T-shirt & Grab Bag

10 Amateur Divisions competing for TROPHIES & PRIZES


The MOST EXTREME PRO EVENT on the Eastcoast

ENTRY DEADLINE MIDNIGHT, Friday Aug. 11th, 2005

mail no later than August 8th to assure entry

send entry form & $ 27.00(tax included) Amateur or $ 100.00(tax included) Professional made payable to ::

Run Drop Slide Inc., box 207 ,St Augustine, FL 32085

For inf. call (904) 823-9885 or cell (904)540-1189

e-mail ::

---- CUT ----------- SAVE TOP -------- CUT ------

Name :_______________________________________________

Age: ____________ Birthday :__________________

Address :____________________________

City : __________________ State :_________________ Zip :__________Phone : _______________

Type of board : _________Years Skimming :______

Sponsors : _________________________________

Male or Female (circle one)

Division (circle one): Age by Dec. 31st of said year.::.

minis 8-under ; menehunes 9-11; boys 12-14; juniors 15-17; men 18-21; seniors 22-24; masters 25-29; grand masters 30-39; girls 14- under; women's 15- up; PROS open

In order to compete in this event, you must read, understand, if a minor have parents or legal guardian explain it to you, and sign or have your legal guardian if your are a minor sign below in order for your entry to be considered.

Run Drop Slide Inc., acting as the governing body for this tournament has the right to deny entry into this event without the proper acknowledgment signature.

As a competitor in this event you release the right to claim any liabilities for use of your image in any and all official advertisement for this event, including but not limited to , video, or photography.

Hold Harmless Release : I Hearby agree to release Steve Pullara, Run Drop Slide Inc., the county of St. Johns, the community of Vilano bch., the city of St. Augustine, and any and all sponsors or owners of land used for the event and any and all agents associated with this event from any and all liability for injuries or damages whatsoever arising from participation or presence at this competition.

The sport of skimboarding is very extreme and at times dangerous and by submitting this application you assure this event of your competence and awareness of these facts and you take full responsibility for your presence

Signature :__________________________________________________

under 18 yrs : I HEARBY CERTIFY that I am the parent or legal guardian of the said applicant and agree to the above disclaimer Parent or guardian :______________________________

a $ 15.00 late fee will be charged, so enter early