Chairman, David Lipschitz 082
3221150 fax 041 3672342 e-mail surf@agnet.co.za
Websites surf.co.za + salsa.co.za
Committee Anthony Bernstein
Greg Smith Lyndon Besuidenhout Mike Beck Mush Hyde Dylan McLeod Ryan Anderson
Craig Cuff Craig Potgieter Dieter Kuhn.
(Affiliated to S.A. Longboard Surfing Association+ Surfing South Africa)
Entry Form
EP Longboard Surfing Championships 2006+Trials 2007
JEEP ST-FRANCIS RESORTS SA CHAMPS – PE-SEALS
30 APRIL-5 MAY 2007
Please only enter trials if you are available to Surf Champs over that period. Please note that this will be the
largest SA Longboard Champs ever held in this area.
All welcome to Surf EP Closed R100 entry.
Entry fees + Subs to be paid at
first trial
Top 3 trial results count, but may require the 4th trial in case of a tie.
You may enter your Division as well as the Open Division, but will need to pay
entry fee for both.
Please make arrangements for the trials that you will have sufficient time off.
There is a real possibility that we will travel to outside the bay, so make
appropriate arrangements to be available.
HERE ARE THE FEES
FIRST YEAR GIRLS AND BOYS U.15 FREE EP.TRIALS AND
FREE CLUB MEMBERSHIP.
ALL OTHERS R200.00 ALL 4 TRIALS.
CLUB MEMBERSHIP JUNIOR GIRLS AND BOYS R75 AND ABOVE R150.00.FAMILY
MEMBERSHIP R150 FIRST MEMBER R50 PER MEMBER THEREAFTER
CLUB MEMBERSHIP NOT PAID MEANS YOU ARE NOT ELIGIBLE TO SURF FOR E.P. AND
WILL BE REMOVED FROM MAIL LIST.
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Divisions |
Age Groups |
Tick |
DETAILS |
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On 1 Jan 2007 |
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Youths both |
14 and under |
NAME |
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Junior boys |
15 to 18 |
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Open |
All ages |
SURNAME |
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Masters |
31 to 35 |
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Grand Masters |
36 to 40 |
ID
NUMBER |
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Seniors |
41 to 45 |
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Veterans |
46 to 50 |
CELL
NO |
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Super Vets |
51 to 55 |
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Legends |
55 to 60 |
E-MAIL |
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Super Legends |
60+ |
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Girls |
18 and under |
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Ladies (senior) |
35+ |
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Ladies Open |
All ages |
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Indemnity: I fully understand and accept
that I will participate at my own risk. I will not hold EPLSA or anybody
involved in the EP COMPETITIONS
responsible for claims that might arise with my death, illness, or any
injury to my person or damage to my property in the course of participating
in the above said contests Signature :..........................................( If Over 18) |
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