Shore Surf Club
The Mike Ruinet Memorial
Longboard Classic 2007

Shore Road East Wittering Dec 1st-2nd Back up date 8th-9th dec

Please find enclosed cheque (or PO) to the value of £…………
(Make cheques made payable to the Shore surf club)
Please note!
Age requirements relate to a competitors age on 1st January 2007
Closing date for entries is 29th Nov 2007 (Beach entries will only be taken if there is space in the heats)
Competitors must be Shore surf club members
There will be a phone in or email for this event on Thursday 29th nov

I understand that the event organisers/officials (whilst doing all that they can to ensure the safe and secure running of the event) cannot be held responsible for any loss, damage or injury that may occur during the event.
I acknowledge that I may be required to under go a drug analysis test (carried out by a representative of the UK Sports Council) and I agree to comply with such a request. Refusal to supply a urine sample for analysis will be taken as a positive result and the offence will be dealt with under the BSA’s current regulations.
I have read the contest rules (set out in the BSA Members Handbook) and agree to abide by the decisions of the Contest Director.
I agree to allow the use of any moving or still pictures of me for promotional purposes
I will make the organisers aware of any medical conditions/injuries that may effect my safety whilst participating in the event.

Signed………………………………………
(Parent or guardian must sign if the competitor is under 18 years of age)
Print Full Name of signatory ………….………………………………………
Contact phone number in event of emergency ………………………..
Date of Birth…….…………….Tel. No…………….………… club No………….…..

Full name of competitor……………………………………………………………..
Address………………………………………..…………………………………….
………………………………………………….…………………………………..
E mail………………………..…………….. Post Code …………………….
Completed forms should be sent to:
Contest director CO/ Tawny nurseries bell lane Birdham chichester west sussex PO20 7HY