FREEDOM ARTISTS HOLD HARMLESS SURF CONTEST ENTRY FORM

PLEASE READ BEFORE SIGNING

In consideration of being allowed to participate in any way in the Freedom Artists surf contest, related events and

activities, the undersigned acknowledges, appreciates and agrees that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately;

and

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS FREEDOM ARTISTS, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers and if applicable, owners and lessors of premises used to conduct the event (RELEASEES), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

PARTICIPANT’S SIGNATURE:_____________________________________________DATE_______________

PARTICIPANTS UNDER THE AGE OF 18 ARE REQUIRED TO HAVE PARENT SIGN: This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in the programs as provided above, even if arising from their negligence.

_______________________________________________________________________DATE___________________

SIGNATURE OF PARENT OR GUARDIAN

NAME________________________________________________________PHONE__________________________

EMAIL (stay posted about future events and get photos from this event) ________________________________

ADDRESS______________________________________________________________________________________

CITY____________________________STATE________ZIP________________BIRTHDATE ____/____/____

CHECK EACH DIVISION THAT YOU WILL BE ENTERING.

DIVISION ENTRY FEE @ $20.00 EACH DIVISION

(ie. If you enter Groms and Pro/Am your total will be $40.00)

No personal checks accepted. Only cash or money order accepted. No refunds.

2008 FREEDOM ARTISTS SURF CONTEST (westward April 12^th) [check division(s)]

________PRO/AM(All Ages)

________GROMS(15-17)

________MINI GROMS(14-under)