Chip Miller Surffest Registration
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Chip Miller Charitable Foundation
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Chip Miller 6th Annual Surffest Registration

Wednesday, July 29, 2009, 7:00 am - ?. Check-in is from 7:00 to 8:00 am
7th Street & the Beach, Ocean City, N.J.

Registrant Name:
Home Address:
City: State: Zip Code:
Home Phone (Winter): Local Phone (Summer):
Date of Birth: Age on Day of Contest:
Email Address:
Groms: 11 & Under
Mens: 18 & Over
Longboard: open
Womens: open
Masters: 30 and Over
Parent and Child: open
Sign me up for the afterparty! $15

Select Contestant T-shirt size: M L XL XXL

ENTRY DONATION: Entry is $30 for the first event and $10 per event for additional events. On the day of the event entry is $35 for the first event and $15 per event for additional events. Trophies and Prizes awarded to: 1st, 2nd, & 3rd place in each division.
In the event of cancellation, all events are non-refundable and are considered a charitable donation.

NOTE: It is the SURFER'S responsibility to be on time for the heat. No wake up calls provided! First heat begins at 8:00 am.

Under 18? If you are under 18 you must print out this form completed along with parent's signature and send to 15 Stanhope Road, Marmora, NJ 08223 YOU HAVE 7 DAYS FROM REGISTERING ONLINE TO DO THIS IN ORDER FOR YOUR SPACE TO BE RESERVED!

Parent's Signature:                                                                           

I have read this form and hereby agree to the terms and liability waiver below

Liability Waiver: In consideration of acceptance of my application for the Chip Miller Surffest, I hereby release the Chip Miller Charitable Foundation, Borough of Ocean City, Cape May County, New Jersey, their agents or members and any sponsors or persons directly related to the competition from all liabilities for any injuries or damages whatsoever arising from my participation or presence at this competition. I hereby assume all risk of injury from my attendance and/or participation in this event. Release is also given for the use of any photography, film video taken during this event for the advertising of the Chip Miller Charitable Foundation and their sponsors. All other videos, film and photography cannot be used without the written consent of the Board of Directors of the Chip Miller Charitable Foundation. The contest committee reserves the right to adjust the contest to meet the needs of the day.



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