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Event Dates Entry Closing Date Contact Person Event Entry Fee Event Briefing Banking Details

3rd & 4th August 2013 01 August 2013, Please Email entry form to ckznba@gmail.com. Entries will not be accepted without Proof of payment. Beach entries will not be accepted. Stuart Bradford - 082 327 1121 R150 for Pro, R100 for all other divisions (Mens riders may not ride in the Pro Division) Scottburgh back beach (towards caravan park on right of the point) at 07:30 on Saturday the 03rd of August 2013. This will be event venue as well. Central Kwazulu Natal Bodyboarding Association First National Bank Business Cheque account Musgrave Branch Branch Code: 221126 Account number: 62111309375

Please cut off and keep the above section KZN BODYBOARDING CHAMPS 2013
SURNAME: ADDRESS: TEL NO. EMAIL: FIRST NAME: AGE ON 01/01/2013: P/CODE:

BIRTH DATE: LADIES (all women) BOYS (14 on the 1st Jan 13) MENS (19 and older on 1st Jan 13) GRANDMASTERS (41 and older on 1st Jan 13)

Mark the appropriate division block with an ‘x’
PRO (open to anyone) JUNIORS (15 to 17 on the 1st Jan13 ) DROPKNEE (open to anyone) MASTERS (33 - 40 on 1st Jan 13)

Please indicate below the amount you have paid for this contest
TRIALS ENTRY FEE:

R

NUMBER OF DIVISIONS ENTERED:

I hereby make formal application to enter the above contest and agree to abide by the decisions of the judges and the organisers. Furthermore, in consideration of your acceptance of my application I hereby release the sponsors, their members or agents and any officials connected with this competition from all liability for injuries or damages whatsoever arising from my participation or presence at this competition and also agree to promote their products for the duration of their event. Release is inclusive of photographs and moving pictures.

RIDERS SIGNATURE: PARENT / GUARDIAN SIGNATURE (if you are under 21):

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