LJSSA MENEHUNE CONTEST SIGNUP AND PAYMENT
Menehune Contest Brackets * (Boys and Girls separate heats)
Male    Female            16 - 18 yrs                       Longboard                Shortboard          
Male    Female            13 - 15  yrs                      Longboard                Shortboard          
Male    Female            10 - 12  yrs                      Longboard                Shortboard
Male    Female             7  -  9 yrs                        Longboard                Shortboard        
Novice Division:  For individuals who have surfed for a year or less.

*Divisions may be combined depending on the number of entries
ONLINE SIGNUP AND PAYMENT (Use Credit Card or Paypal Account)
LA JOLLA SHORES SURFING ASSOCIATION LIABILITY RELEASE AGREEMENT

II the undersigned being an adult agree to assume all the risks for injuries arising out of my participation or
my dependent in any activity sponsored by the La Jolla Shores Surfing Assoc. and make no claim
whatsoever for injuries against the La Jolla Shores  Surfing Assoc., its officers, other sponsors of the event,
or agents by reason of my said participation, or the participation of my dependent.  I understand that the
person whose name appears on this online registration form is voluntarily participating in the activity, and
the La Jolla Shores Surfing Assoc. provides no insurance, and will not pay any medical expenses arising out
of any injury associated with this event. I further represent that I or my dependent, am or is physically able to
participate in said activity. I acknowledge that I or my dependent voluntarily participate in the event at my
own risk.
SINGLE DIVISION $55 DONATION    
LONGBOARD ENTRY
SHORTBOARD ENTRY
CONTESTANT NAME AND DOB MM/DD/YYYY:

GUARDIAN NAME AND PHONE NUMBER:

GENDER:

CONTESTANT NAME AND DOB MM/DD/YYYY:

GUARDIAN NAME AND PHONE NUMBER:

GENDER:

COMBINED LONGBOARD/SHORTBOARD
DIVISIONS  $85 DONATION   
COMBINED LONGBOARD/SHORTBOARD ENTRY
IMPORTANT PLEASE READ:  
SIGNUP AREA A:   Single entry in longboard or shortboard is $55.00 donation
SIGNUP AREA B:  Combined  longboard or shortboard entries are $85 donation
SIGNUP AREA C:  Novice Division (surfed 1 year or less) is $55.00 donation
SIGNUP AREA D:  6 Years Old and Under (NOT JUDGED)  $25.00 donation
LIABILITY RELEASE:  By including the parent or guardians name  you agree to
the following liability release.
SIGN UP AREA A
SIGN UP AREA B
NOVICE DIVISION $55 DONATION    
NOVICE DIVISION ENTRY   *For those who have surfed less than 1 year
SIGN UP AREA C
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CONTESTANT NAME AND DOB MM/DD/YYYY:

GUARDIAN NAME AND PHONE NUMBER:

GENDER:

CONTESTANT NAME AND DOB MM/DD/YYYY:

GUARDIAN NAME AND PHONE NUMBER:

GENDER:

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6 AND UNDER DIVISION $25 DONATION    
SUPERMENEHUNE 6 AND UNDER    *For children under 6 years old.  Adults can be in the water.
This heat is not judged.  The are all winners!
SIGN UP AREA D
CONTESTANT NAME AND DOB MM/DD/YYYY:

GUARDIAN NAME AND PHONE NUMBER:

GENDER:

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