ENTRY FORM
WESTERN PROVINCE OPEN 2010
CAPE PENINSULA
March 6 & 7, 2010
CONTESTANTS MUST MEET AT LONG BEACH AT 7.30AM EACH DAY OF THE EVENT FOR A VENUE DECISION

SURFERS MUST BE MEMBERS OF THE PRO SURF TOUR TO COMPETE IN PST EVENTS
Click here to join the PST
Closing date for entries: March 1, 2010

THE ENTRY FEE MUST BE PAID WITHIN 24HRS OF COMPLETING AN ONLINE ENTRY
THE SURFERS NAME WILL BE DELETED FROM THE LIST OF ENTRIES IF THE FEE IS NOT PAID WITHIN 24HRS.

NO LATE ENTRIES WILL BE ACCEPTED.

A MEDICAL CERIFICATE MUST ACCOMPANY WITHDRAWALS DUE TO INJURY OR ILLNESS
ANYONE WISHING TO WITHDRAW MUST CONTACT CYRIL NEL ON 0832549953.
ANY NON INJURY/ILLNESS RELATED WITHDRAWAL AFTER THE FINAL CLOSING DATE WILL RESULT IN FORFEIT OF THE ENTRY FEE
NO SHOWS WILL BE FINED R500

NB: If you are under 21 Your Parent or Guardian must sign the proof of payment before faxing.

Deposit slip must be faxed to 0866189025

Banking Details
SURFING SOUTH AFRICA,
FIRST NATIONAL BANK,
RONDEBOSCH,
branch code: 201509
current account 50170019142

FAX PROOF OF PAYMENT TO: 0866189025
ENQUIRIES: Natalie on 0832735790 (during office hours) or email surfingsouthafrica@gmail.com

In consideration of your acceptance of my application, I hereby release the sponsors, their agents, and any officials connected with the competition from all liability for injuries or damages whatsoever arising from my participation or presence at this competition. Release is inclusive of photographs and motion pictures, and I further agree to co-operate with the sponsors in the promotion of their products wherever and whenever possible to the mutual advantage of all concerned. I further certify that I am a member of the SSA Pro Surf Tour.