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9TH ANNUAL
JUPITER PRO AM FALL CLASSIC

SURF CONTEST

When: November 20, 21, & 22, 2009
Where: Civic Center, Jupiter, Florida
Entry: $100 for Men's Pro and $80 for all other events entered; Beach Entries will be charged an additional $20 beginning 6:00am Saturday.
Deadline: All entries must be submitted by November 1, 2009
Payment: Checks should be made payable to: Fall Classic, Inc.
All entries must be accompanied with payment in full. PO Box 717, Jupiter, FL 33468. Entries will be accepted as a first come, first serve basis and acceptance will be determined by postmark. For additional information contact Mike Bloom at 561-248-1541. _______#(Leave blank – for Organizers use only)
   
Name:________________________________________________
Birthdate:____________Age (as of 11/20/09)_________________
Phone:________________________________________________
Street Address:______________________________________________
City:__________________State:___________Zip:____________
   
Event:

Age:

______Monster Energy Men’s Pro ($100.00)

Open

______Men’s Pro LongBoard

Open

______Woman’s Pro Shortboard

Open

______Woman’s Pro Longboard

Open

______Ocean Magic Jr Pro Shortboard

16 & Under

______Sr Pro Longboard

40 & Over

______Locals Surf Shop Air Show

Open

______JupiterPaddleBoarding.com Stand Up Paddle Board ($50)

Open

         
     Total Amount Enclosed: $__________
Prize Money based on amount of entries
    
Saturday, November 21 , 2009
Contest will begin early AM
Sunday, November 22, 2009
Finals with an awards ceremony following.
         
    
IMPORTANT – PLEASE NOTE: NO ENTRY WILL BE PROCESSED UNLESS BOTH SIDES OF THIS FORM ARE COMPLETED AND PAYMENT INCLUDED.

If you are staying at a local hotel, please provide us with it's name __________________________
               
Hold Harmless Release: This release bars your rights to recover damages in the case of an accident injuring you.

READ BEFORE SIGNING!

In applying to the Jupiter Pro Am Fall Classic surfing competitions, I promise to inspect the contest site, and assure myself that the area is safe for surfing, and further agree that I will not surf in the contest, unless I am satisfied that the area and conditions are safe for surfing purposes. In exchange for the Jupiter Pro Am Fall Classic accepting my entry form, I voluntarily agree to assume all risks incident to the sport of surfing. 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 they are acted upon the powerful forces of the ocean and ocean waves. With full acknowledgement, comprehension and understanding of these dangers, I voluntarily accept and assume all risks involved in the spirit of competitive surfing. I will further read and comply with all the Jupiter Pro Am Fall Classic Surfing rules and regulations, and do agree that, noting existing weather conditions, I voluntarily assume all risks arising from conditions related to use of the contest site by myself and others. I give the Jupiter Pro Am Fall Classic permission to arrange to telecast, show, or print and publish any and/or all pictures taken of me (movie, video, or still) in conjunction with said event. In consideration of your acceptance of my entry, I intend to be legally bound, hereby, for myself, my heirs, executors and administrators, hold harmless and release and forever discharge the Jupiter Pro Am Fall Classic Surfing Competition, Jupiter, county of Palm Beach state of Florida, any and all sponsors, co-sponsors, named or not, members, agents and any and all officials connected with this competition, from all liabilities for injuries and damages whatsoever, arising from my presence or participation in the above described event and do hereby grant the sponsors such release as described herein. I acknowledge that I have read and understand all of the above. My signature below indicates I will abide by all competition rules; I will not enter the competition area unless competing and I will not demonstrate any unsportsmanlike conduct. Any violation of the above will be cause for disqualification.

 

CONTESTANTS SIGNATURE:_________________________________DATE:_____________

FOR CONTESTANTS UNDER 18 YEARS OF AGE: I HEREBY CERTIFY that I am the parent or guardian of the surfer named above, and do hereby give my permission without reservation and with full understanding and comprehension of the foregoing agreement to hold the aforementioned organization and governmental entities harmless any and all liabilities including any such injuries which are alleged to have occurred as a result of negligent failure of Jupiter Pro Am Fall Classic officials, judges, and directors to properly supervise contestants in the course of competition.

SIGNATURE OF PARENT OR GUARDIAN:____________________________________

DATE: _______________

Please note: No entry will be processed until both sides of this form is completed and accompanied by payment in full for the events.

Bosso,Bosso, & Pardo P.A.

Attorney at Law