Final leg of the Florida Skimboarders Crossover Tour
FRI - SAT - SUN August 18th,19th,20th VILANO BCH., FLORIDA
OFFICIAL ENTRY FORM FOR SKIMBOARDING EVENT ONLY
(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
plus...
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 :: Steve@rundropslide.com
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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
