West Coast Express Surf Ski

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Team name   First name   Last name   Email address   Age on event date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 Gender -- Male Female MIXED   Emergency contact name   Emergency phone #   Country   Category Choose one 35+ Female SS1 35+ Male SS1 55+ Female SS1 55+ Male SS1 Mens 55 to 59 Single Ski Mixed Double Ski Open Ladies Double Ski Open Ladies Single Ski Open Men Double SKi Open Men Single Ski U18 Ladies Single Ski U18 Mens Single Ski   Event entry fee increases after September 30, 2019 Event entry fee 70.00 EUR

Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver I hereby absolve WEST COAST EXPRESS its members, owners, coaches, employees, other participants, and/or any affiliates, of any liabilities, howsoever arising, and waive my right to any claim in respect of any loss, injury, illness, damage, accident or fatality due to my participation in WEST COAST EXPRESS activities. I agree that my participation in WEST COAST EXPRESS activities is at my own risk. I accept the terms of the waiver Name of parent or guardian who approves this activity