CAPITOLA CHAMBER of COMMERCE
716-G Capitola Avenue,
Capitola, Ca 95010

(831) 475-6522 . FAX: 475-6530 . email: capcham@capitolachamber.com

WOMEN ON WAVES
Entry and Release Form


Name_________________________________________________Shirt Size__________

Address___________________City____________Zip__________Phone_____________

Novice (17&under)____Junior(17&under)____Novice(18&over)___Women(18-29)____
Seniors(30-39)____Women(40-49)____Grand Masters(50+up)____


RELEASE

In applying to enter this contest, I promise to inspect the contest site and assure that the area is safe for surfing, and further I agree that I will not surf in the contest unless I am satisfied that the area and conditions are safe for surfing purposes. I attest that I am physically fit and have sufficiently trained for this event. My signature below indicates: I will abide by the contest rules. I have read or will read and understand the competition rules. I will not surf in the competition area except during my own heat and will not demonstrate unsportsmanlike conduct. Any violation will be due cause for immediate disqualification. I further agree to forfeit my entry fee and points in this contest if guilty. In consideration of your acceptance of my entry, I intending to be legally bond, hereby, for myself, my heirs, executors and administrators, hold harmless and release the City of Capitola, Capitola Chamber of Commerce, Capitola Village Association, and Westwind Surf Club, their members or agents, any official connected with this competition, all sponsors of this competition, from all liability for injury and/or damages whatsoever, arising from my participation or presence at this competition. I acknowledge that I have read and understood all of the above.

Contestant's Signature_____________________________ Date_____________


FOR CONTESTANTS UNDER 18 YEARS OF AGE: I hereby certify that I am the parent/guardian of the surfer named above, and I do give my consent without reservation to the foregoing and agree to hold the aforementioned from any liability. I also give my consent for any medical treatment when needed.


Parent/Guardian Signature______________________________Date____________


Contestant Signature*______________________________Date_______________
*I have read and understand the contest rules on the back of this application and agree to follow them.

Mail to:
CAPITOLA CHAMBER of COMMERCE
716-G Capitola Avenue,
Capitola, Ca 95010