2013 BZ/MOREY - BIA PRO/AM TOUR

EVENT HEADLINE SPONSOR

MOREY BZ CHURCHILL -CUSTOM X TOOBS VICTORY MADRID VIPER FINS - STICKY BUMPS - WORLD CLASBODYBOARDS - JL DESIGNSLIMITED EDITION PRIDE - BBR MAGAZINE - ALTERNATIVE SURF E BODYBOARDING CBC BZ VICTORY- SPONGE DAILY

EVENT #5

GOLDENWEST
ST TH

AUG 17TH, 2013

7AM-4PM

AWARDS & PRIZES 1 - 4 PL AMATUERS CONTEST INFO: For directions to our events visit our website. Heat times will be posted on our website the Friday before each event or call (310) PRO OPEN 1ST - $ 250.00 ST 602-9695. Beach entries are on a 1st come 1st serve basis. All competitors PRO DK 1 - $ 250.00
that PRE REGISTER will get a discount ($10 for AM/ $20 for PRO).

DIVISIONS
AMATEUR YOUTH 12 & Under MASTERS 30+ JUNIORS 13-17 FEMALE MENS 18-29 STAND UP DROP KNEE (scored on DK only) AAA (ELITE AMATUER)
BIA EVENT #5 A RATED EVENT

PROFESSIONAL PRO OPEN PRO DROP KNEE

ENTRY DEADLINE: MUST BE POSTMARKED ON OR BEFORE AUG 14 , 2012

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DISCOUNT FOR ENTRY FEES (If pre-registered before entry deadline)

$75.00 $50.00 $20.00 $250.00 AMATEUR COMPETITORS MEMBERSHIP FEE (1 EVENT $20.00) CONTEST FEE ( $ 40.00 pre register) ADDL DIVISION ENTRY FEE BULK RIDER FEE PROFESSIONAL COMPEITIORS $100.00 MEMBERSHIP FEE (1 EVENT $20.00) $100.00 PRO OPEN FEE ( $ 75.00 pre register) $100.00 PRO DK FEE ( $ 75.00 pre register) PRIZE MONEY PRO OPEN PRO DK - FEMALE
FORM OF PAYMENT PLEASE CHECK BOX AMOUNT $ CASH MO CHECK $_____________

Bulk Rider entry covers: BIA Membership fee and entry into all BIA regular season events except BIA Champs, Amateur riders save $55.00 by signing up for bulk rider membership.

MAKE CHECK OR MONEY ORDER PAYABLE TO: BIA / MAIL PAYMENT AND ENTRY TO: BIA PO BOX 306, LOMITA, CA 90717

NAME: ADDRESS: CITY:

DIVISION(s): PH: ( STATE: ) ZIP:

READ & SIGN: In consideration of accepting this registration, I hereby certify the foregoing statements to be true and correct, and agree to indemnity and hold harmless to the State of California & the city of the Event, its City Officials, agents and/or volunteers, the political entity having jurisdiction over the contest site, the boy scouts, the BIA, its officers, directors, contest officials & employees such cla im, suit, or action for damages resulting from or in any manner arising out of the participation in the BIA event I am entering. I do understand that any photographs or video taken of my likeness during my participation any/all BIA events is sole property of BODYBOARDER INTERNATIONAL ASSOCIATION and can be used at any time in any media form without my prior knowledge or consent. SIGN HERE: SIGNATURE (Parents, If under 18) Birthdate / / Age: Date: / / I verify that I am the parent or legal guardian of the bodyboarder entering this contest. I hereby give full contest without reservation to the forgoing statement & agree to hold the BIA free from any / all liability damages & claims. I also give consent to any medical treatment if / when needed.