Check ALL EVENTS you are registering for ENTRY FEES: $20.00 for first division, $10.00 for additional division st
nd
Multiple Family Member Discount: Two = $30.00 1 Division, Two = $15.00 2 Division. st
nd
Three = $45.00 1 Division, Three = $15.00 2 Division. Current ESA Membership REQUIRED before entering contests. Membership starts at $50.00/yr. Family $70.00 & $5 Rate increases with each comp and division. JOIN OR RENEW YOUR ESA MEMBERSHIP AT: www.surfesa.org USE AGE AS OF 01/01/2016 TO DETERMINE YOUR AGE DIVISION
CONTEST ENTRY FORM ~ 2015 SEASON SCHEDULE
Check CONTEST (one only) you are registering for th
! Contest #1  May 16 Saturday Mary Street Beach Ramp, Butler Beach 8:00 a.m. Beach Registration Membership Renewal Contest th
! Contest #2  May 30 Saturday Mary Street Beach Ramp, Butler Beach 8:00 a.m. Beach Registration th
! Contest #3  June 6 Saturday Flagler Beach Pier, Flagler Beach 8:00 a.m. Beach Registration th
! Contest #4  July 4 Saturday St. Augustine Beach Pier 7:00 a.m. Beach Registration Mailed entry deadline 7/1/14 Entry $25.00 th
! Contest #5  August 15 Saturday Mary Street Beach Ramp, Butler Beach 8:00 a.m. Registration th
! Contest #6  September 12 Saturday Mary Street Beach Ramp, Butler Beach 8:00 a.m. Beach Registration th
th
! Contest #7  October 10 -‐11 Sat/Sun Ponce Inlet, Daytona Beach 2nd Annual Governor's Cup 8:00 a.m. Start/Online Registration www.esancfl.org th
! Contest #8  November 7 Saturday Mary Street Beach Ramp, Butler Beach 8:00 a.m. Beach Registration th ! ESA-‐SAFL Banquet  December 6 Sunday Salt Life Food Shack St. Augustine
10:30 a.m. Saturday CHECK www.facebook/StAugustineFloridaESA FOR LAST MINUTE UPDATES Or go to www.saflesa.com NEW SURFER – MALE/FEMALE
! MicroMene (Beginners 10 & under)
! Beginner Surfer 1A Does Not Get Points
LONGBOARD – MALE/FEMALE
! Menehune Longboard U14 (13 & under)
! Open Longboard (All ages) 4th of July Only
SHORTBOARD – MALE/FEMALE
! Menehune Shortboard U12 (11 & under)
! Grand Legends Shortboard (60 & over)
! Open Shortboard (All ages)
LONGBOARD – MALE
! Jr. Men Longboard U18 (17 & under)
! Mens Longboard (18-34)
! Masters Longboard (35-49)
! Legends Longboard (50 & over)
SHORTBOARD – MALE
! Boys Shortboard U14 (13 & under)
! Boys Shortboard U16 (15 & under)
! Jr. Men Shortboard U18 (17 & under)
! Mens Shortboard (18-29)
! Masters Shortboard (30-39)
! Sr. Men Shortboard (40-49)
! Legends Shortboard (50 & over)
LONGBOARD – FEMALE
! Jr. Women Longboard U18 (17 & under)
! Womens Longboard (18-34)
! Ladies Longboard (35 & over)
BODYBOARD – MALE/FEMALE
! Menehune Bodyboard (13 & under)
! Open Bodyboard (All ages)
SHORTBOARD – FEMALE
! Girls Shortboard U14 (13 & under)
SUP – MALE/FEMALE
! Girls Shortboard U16 (15 & under)
! Open Stand Up Paddleboard (All ages)
! Jr. Women Shortboard U18 (17 & under)
4th of July Contest Only
! Womens Shortboard (18-34)
! Ladies Shortboard (35 & over)
$______________TOTAL DUE Check/Cash/Credit
ALL ESA COMPETITION RULES & REGULATIONS ARE & WILL BE STRICTLY ENFORCED.
MAKE CHECKS PAYABLE TO: E.S.A. ST. AUGUSTINE / MAIL TO: 400 A1A Beach Blvd., St. Augustine Beach, Fl. 32080.
NAME___________________________________ TEL# ________________________ ONLINE DEADLINE – MUST BE RECVD. NO LATER THAN 6 PM THURSDAY BEFORE FIRST POSTED CONTEST
DATE. BEACH ENTRIES WILL BE AVAILABLE ON 1ST COME BASIS ONLY. STRICTLY ENFORCED!
BIRTHDATE_______________________ AGE AS OF 01/01/2016 ___________________ In consideration of acceptance of my application, I hereby release the Eastern Surfing Association (E.S.A), the State of Florida, St. Johns County Parks
IF UNDER 18 -‐ A PARENT/GUARDIAN'S SIGNATURE IS REQUIRED ON THIS ENTRY FORM! ADDRESS: _______________________________________________________________ and Recreation, St. John County, City of St. Augustine Beach, and all sponsors, their members, agents, employees, successors and assigns, and any
EMAIL__________________________________________________________________ from my participation of presence at their competition. Release is also given for the use of photos, film, or videotape and any form of electronic media; I
We Are All Volunteers: I would like to do: ! Contest Set-‐up/Breakdown ! Tabulating other persons or organization officially connected with the competition from any and all liability for-any and all injuries or damages whatsoever arising
agree to abide by all the rules and regulations involved in this event. I understand that if I do-not comply with the expected roles, regulations and
conduct myself in a sportsmanlike manner, I will be disqualified with a forfeiture of all entry monies. Furthermore, [agree to keep myself posted on any
schedule changes that may occur and understand it is my responsibility to do so. ESA is a 501 (c) 3 Non-Profit Organization.
! Judging ! Fundraisers (for awards) ! Press releases ! Photography ! Food Preparation Competitors Signature
NAME: ___________________Phone___________________E-‐mail: ________________________ Parent/Guardian (if under 18)
_____________________________ ________________________________