Divisions all Longboard Divisions Check each	Entries are limited!          Enter Early for slot!
o Menehune   (14 & under)	o Open Pro (all ages)
o Junior   (17 & under)	o Retro (all ages)
o Open Men   (all ages)	o Nose Ride  (all ages)
o Open Women    (all ages)	o Legends   (40 +)

[       Competition : Competition schedules will be posted each day on the beach and at www.floridasurfing.org

[       Entry Fees: $25 Amateur and $50.00 Pro -  You may also register on-line with credit card at www.floridasurfing.org.  Late entry fee is an additional $25 to the total.    

Age as of January 1, 2009 for all divisions.  

Payment Info: Make checks payable to Florida Surfing Association and mail with entry form to 124 5^th Avenue North, Jacksonville Beach, Fl 32250.

* DROP OFF AT SUNRISE SURF SHOP ONLY * You may enter electronically with credit card at wwww.floridasurfing.org       

THIS IS AN OPEN SURFING COMPETITION NO MEMBERSHIP REQUIRED

Deadline: Postmarked no later than Monday May 19  or electronically by May 22  

Late entries will be accepted at the competition area on a space available basis only  $25 late fee – Entries are limited so enter early!

Name:     __________________________________________________________

Phone(           )__________________________

Address: ________________________________________________________________________________________________

City: _______________________________________ State: _________ Zip: __________________

Email Address: __________________________________________________________

Age as of January 1, 2009    __________  

In consideration of acceptance of my application to the LONGBOARD CLASSIC, I hereby release the City of Jacksonville and the City of Jacksonville Beach,  the State of Florida, the Florida Surfing Association , Sunrise Surf Shop, Surftech,  Omni Realty of North Florida, their members,, all sponsors, agents, successors, and assigns any other person or organizations officially connected with their competition from liability for and all injuries or damages whatsoever arising from my participation or presence at their event.  I also give my release for the use of photos, film or video taken of me at the event.  I fully understand that I will be disqualified from the competition if I am found guilty of any rules violation, with no refund of entry fees.  In addition, I am responsible for keeping posted of any changes in the scheduled times.

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Contestant Signature                                                                                                Date                                                 

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Parent/Guardian Signature (if under age 18)                                                          Date