2015-NYESA1_Application - Eastern Surfing Association NY

Contest #1 NY Spring Tune-up
presented by ESA
Saturday, May 2, 2015 - 8:00 AM First Heat. SECTION
Beach 90th-89th St, Rockaway Beach, NY
A
Name:............................................................. DOB:................. Age on 1/1/16:............
Address:......................................................... Phone#:.................................................
....................................................................... Email:.....................................................
Parent’s Contact# / Email:............................................................................................
SECTION
B
qOpen Shortboard
qOpen SUP
(M/F All Ages $25 Entry Fee)
qMenehune U12*
qBoys U14*
qGirls U14*
qMenehune Bodyboard
qBoys U16*
qGirls U16*
qJr Men U18*
qJr Women U18*
(M/F 11 & Under)
(M/F 13 & Under)
qMenehune LB U14*
(M/F 13 & Under)
(13 & Under)
(15 & Under)
(17 & Under)
qJr Mens Longboard U18*
(17 & Under)
(13 & Under)
(15 & Under)
(17 & Under)
qJr Womens
Longboard U18*
(17 & Under)
*New for 2015: All Youth Division surfers will be permitted to “surf up”
into a division or multiple divisions. Valid membership + entry fees apply.
SECTION
C
Desired T-Shirt Size: (while supplies last)
q.Youth M
q.Youth L /
Adult S
SECTION
q.Adult M
q.Adult L
q.Adult XL q.No Shirt
q.Adult 2XL
E
Interest in other 2015 ESA-NY contests:
For planning purposes only. No additional payment due now.
#2 q
#3 q
#4 q
#5 q
#6 q
#7 q
June 6 - Nature’s Shapes, Robert Moses State Park
July 11 - Sundown, Lido Beach
July 25 - Thrust, Gilgo Beach
August 29 - Bunger Classic, Gilgo Beach
September 12 - South Hampton Challenge, Dune Road
October 3-4 - Montauk Classic, Ditch Plains
qOpen Bodyboard
(M/F All Ages)
(M/F All Ages)
qMen (18-29)
qMasters (30-39)
qSenior Men (40-49)
qLegends (50+)
qGrand Legends
qWomen (18-34)
qMens Longboard (18-34)
qMasters Longboard (35-49)
qLegends Longboard (50+)
qWomens Longboard qLadies (35+)
(M/F 60+)
(18-34)
qLadies Longboard (35+)
SECTION
D
Contest Entry Fees: Open Shortboard ....... q ($25)
1st Division....... q ($25)
4th Division....... q ($10)
2nd Division....... q ($15)
5th Division....... q ($10)
3rd Division....... q ($10)
6th Division....... q ($10)
Total Due: .......................(checks payable to ESA-NY)
Hold Harmless Release waiver on next page
must be signed for competition eligibility.
Application deadline: Tuesday, April 25
Mailing address:
ESA-NY
46 Dorchester Street
Huntington Station, NY 11746
Contest schedule, status, and additional instructions
to be posted online by 9pm the night before contest:
ny.surfesa.org
SECTION
F
Hold Harmless Release Waiver
Each contestant must have a signed waiver on file for competition eligibility.
This Release bars your rights to recover damages in the event of an accident injuring you the competitor.
Please read this before signing!
In applying to an ESA Surf contest, I promise to inspect the contest site, and assure
myself that the area is safe. I further agree that I will not compete in the contest unless
I am satisfied that the area and the conditions are safe for purposes of surfing, body
boarding and standup paddle boarding. In exchange for the Eastern Surfing Association
accepting my entry fee and entry form, I voluntarily agree to assume all risks while
competing in the contest. I fully understand and comprehend the dangers of surfing
created by the sharp edges and fins along with the natural buoyancy of a surfboard
when acted upon, by the powerful forces of the ocean. With the full knowledge,
comprehension and understanding of these dangers, I voluntarily accept and assume
all risks involved in the competitive sport of surfing, body boarding and standup paddle
boarding. I will further read and comply with all the ESA rules and regulations, noting
existing weather conditions, and do agree that I have voluntarily assumed all risks
arising from conditions related to the use of the contest site by myself and others. In
consideration of your acceptance of my entry, I intend to be legally bound hereby, for
myself, my heirs, executors and administrators, and hold harmless and release and forever
discharge the Eastern Surfing Association, all Local and State agencies, The Town of
Hempstead, Nassau County and New York State, all national and local sponsors, their
members, agents, and any officials connected with this competition, from all liabilities
for injuries and damages whatsoever, arising from my presence or participation in
all of the 2015 New York District Of The ESA Contest events and do hereby grant all
the sponsors such release as described herein.
I acknowledge that I have read and understand all of the above.
Contestant Signature:........................................................................................
Date:......................................................
If contestant is under 18 years old:
Parent’s Signature:.............................................................................................
Date:......................................................