Bali Adaptive Pro 2019
Please note categories will be subject to minimum and maximum numbers to ensure that each surfer gets the most waves possible and to allow for change over.

By submitting an entry you are confirming that:

- You understand that adaptive surfing is a dangerous water based sport with inherent risk.
- ​You are responsible for ensuring that you are physically capbable of surfing the wave and that your ability is sufficient to enable you to do so safely.
- Asian Surf Co. and Adaptive Pro Sports will not be liable for any injury, death, loss of property or damage from your entry to the competition
Email address *
Full Name: *
Your answer
Gender: *
Address: *
Your answer
Nationality: *
Your answer
Date of birth: *
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DD
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YYYY
Dissability Category *
Description of disability/Medical diagnosis/condition: *
Your answer
Competition record to date:
Your answer
Sponsors:
Your answer
Social media links
Your answer
Emergency contact (name, phone number, social media, relationship) *
Your answer
Mobility equipment used to enter the water: *
If applicable, name of catcher/assistant:
Your answer
Dietary requirements/allergies: *
Your answer
I confirm that I've read and understood risks involved and basic terms & conditions described at the header of registering form:
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