2018 WP Junior Trials Entry Form
Enter all the required details. The application will only be effective after receipt of the proof of payment
Personal Details
First name *
Your answer
Surname *
Your answer
Date of birth *
Format: dd mmm yyyy (e.g. 22 June 1992)
Your answer
Age at 1st January 201 *
e.g. Under 12 may not turn 13 in 2017
Your answer
Home phone number *
Your answer
Mobile phone number *
Your answer
Email address *
Your answer
Select your age group *
Terms and Conditions
I hereby formally apply to enter the Western Province Surfing Trials and agree to abide by the decisions of the judges and the organisers. Furthermore, in consideration of your acceptance of my application, I hereby release the sponsors, their members or agents and any officials connected with these competitions, from all liability for injuries or damages arising whatsoever from my participation, travelling to, or presence at, any competition.
Release is inclusive of photographs and moving pictures and I furthermore agree to co-operate with sponsors in the promotion of their products whenever and wherever possible to the mutual advantage of all connected.
I also agree to abide by the rules of the contests and acknowledge that should I surf in the contest area during the competition I will be disqualified from that particular trial and the following Western Province contest without having fees refunded.
I have read and accept the conditions therein
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