Individual Competition Entry Form - Scholastic Surf Series

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INDIVIDUAL COMPETITION Entry Form
High School State Championships
Monday, April 24, 2017
Oceanside Harbor South Jetty, San Diego
Entry Form and Fees Deadline: April 1, 2016
Individuals are responsible to turn in entry forms. It is not your coach’s responsibility.
Entry Fee is $60 per student per division (MSB, MLB, WSB, WLB, BB). You many enter in more than one division.
Entry Fee must be mailed with Entry Form. NO REFUNDS after the deadline date.
Make Check Payable to: Scholastic Surf Series
(memo line: HS State Champs)
Mail Entry Forms to: SSS PO Box 996, Cardiff CA 92007 (faxed or emailed forms will NOT be accepted)
Eligibility: Active student members of a high schools surf team whose team has competed in a regular season league
against other high schools. GPA of 2.0 or greater. Signature of Coach needed on Entry Form
(see below).
Non-SSS Members: You must also submit a Student Membership Form online. From our homepage select the
FORMS tab where you will find the Student Membership Form. Select “HS State Champs” as your Team Name.
Print the form and attach it to this Entry Form.
Optional: You may pay an additional $5 to be insured under our accident policy for this event.
Name _______________________________________________ Cell _____________________________________
Email _________________________________________________________________________________________
Address ___________________________________________ City ______________________ Zip ______________
Emergency Contact ____________________________________ Cell_____________________________________
School _____________________________Grade ______ Team _________________________________________
Coach ______________________________________ League ___________________________________________
I would like to enter in the following division(s):
____ Mens Shortboard ____Mens Longboard ____Coed Bodyboard ____Womens Shortboard
____Womens Longboard
To help with seeding please let us know where you are ranked in your current league:
_______________________________________________________________________________________________________
To give our announcer some personal information to share during your heat please answer the following
…(don’t be shy it’s State Champs)
Surfing
:____________________________________________________________________
(experiences, highlights, favorite spots, etc)
Fun fact about yourself
_______________________________________________________
(hobbies, adventures, interests, etc)
_______________________________________________________________________________________________________
On Contest Day please check in 15 minutes prior to your heat and pick up your free SSS State Champ T-shirt.
Division Heat Times will be posted online by April 19
. WSL and WSA competition rules apply.
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****IMPORTANT COACHES SIGNATURE HERE****
I am the Head Coach or School Advisor at ____________________________ High School and
verify that the above named student is currently eligible to participate in sports for this school.
__________________________
__________________________
__________
Signature
Print Name
Date
760-518-2727
PO Box 996, Cardiff CA 92007

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