NO BEACH ENTRIES WILL BE ACCEPTED
Trophies will be awarded to the top 3 competitors in all divisions
All entrants receive a free competition T-Shirt
Enter based on the age you will be on 8-22-08
_____ Minis (8 & under) ______ Men (18-21) _______Sr Grand (40up)
_____ Menehunes (9-11) ______ Sr Mens (22-24) ______ Girls (1-14)
_____ Boys (12-14) ______ Masters (25-29) ______ Women (15-83)
_____ Juniors (15-17) ______ Grandmasters (30-39) ______ Pro
Team Affiliation/Sponsor___________________________________________________________________________
Name:_____________________________________________________________________________________
Home Phone:___________________ Work Phone:___________________
Street:______________________________________City:____________________State_________Zip_______
Age:______________ Date of Birth:___________________ Email:___________________________________________
Hold Harmless Release: This release bars your rights to recover damages in the case of an accident injuring you. READ BEFORE SIGNING! In applying to the Outer Banks Skim Jam, I promise to inspect the contest site, and assure myself that the area is safe for skimming and further agree that I will not skim in the contest unless I am satisfied that the area and conditions are safe for skimming purposes. In exchange for Skim USA accepting my entry form, I voluntarily agree to assume all risks incident to the sport of skimming. With full knowledge, comprehension, and understanding of these responsibilities, I voluntarily accept and assume all risks involved in the spirit of competitive skimboarding. I will further read and comply with all Skim USA rules and regulations, and do agree that, noting existing weather conditions related to use of the contest site by myself and others In consideration of your acceptance of my entry, I intend to be legally bound, hereby for myself, my heirs, executors and administrators, hold harmless and release and forever discharge the town of Kill Devil Hills, the county of Dare, the State of North Carolina, and sponsors, Skim City, Glaspro Inc., Skim USA, their members, agents, and any officials connected with this competition, from all liabilities for injuries and damages whatsoever, arising from my presence and/or participation in the above described event and do hereby grant all the sponsors both named and unnamed such releases as described.
Contestant’s signature___________________________________________Date___/___/___
FOR CONTESTANTS UNDER 18 YEARS OF AGE: I HEREBY CERTIFY that I am the parent
or guardian of the participant named above, and do hereby give my permission
without reservation and with full understanding and comprehension of the foregoing
agreement to hold the aforementioned organizations and government entities
harmless of any and all liabilities including any such injuries which are
alleged to have occurred as a result of negligent failure of SkimUSA Officials,
Judges, and Directors to properly supervise contestants in the course of competition.
Signature of Parent/Guardian___________________________________Date___/___/___