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) _____________________________ ________________________________
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