SPONSOR A SURFER - thank you!
$30, $60, $90-  or other  
LJSSA MENEHUNE CONTEST ONLINE SIGNUP AND PAYMENT 2014
*Divisions and/or age brackets may be combined depending on the number of entries
ONLINE SIGNUP AND PAYMENT (Use Credit Card or Paypal Account)
Entry DEADLINE is April 21, 2014.  LATE ENTRIES will be assessed $10 late fee after April 21.
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 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 $60 DONATION   
early bird discount of $10 expires March 24
LONGBOARD OR SHORTBOARD ENTRY
Gender
Longboard/Shortboard
Name and Age as of 4/26/14
Contact Name & Telephone #
COMBINED LONGBOARD/SHORTBOARD
DIVISIONS  $90 DONATION  
early bird discount of $15 expires March 24, 2014
COMBINED LONGBOARD/SHORTBOARD ENTRY
SIGNUP AREA A:   Single entry in longboard or shortboard is $60 donation
SIGNUP AREA B:  Combined  longboard or shortboard entries is $90 donation
SIGNUP AREA C:  Novice Divisions (surfed 1 year or less) is $60 donation
SIGNUP AREA D:  6 Years Old and Under (NOT JUDGED)  $30 donation
SIGNUP AREA E:  Parents (must have child in contest)   $60 donation
SIGNUP AREA F:  Sponsor a Surfer Donation - any amount is appreciated!
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 $60 DONATION
early bird discount of $10 expires March 24, 2014  
NOVICE DIVISION ENTRY   *For those who have surfed less than 1 year
SIGN UP AREA C
Gender
Name and Age as of 4/26/14
Guardian Name & Telephone #
6 AND UNDER DIVISION $30 DONATION
no early bird discount avail. this division   
SUPERMENEHUNE 6 AND UNDER    *For children under 6 years old.  Adults can be in the water.
This heat is not judged.  They are all winners!
SIGN UP AREA D
Gender
Name and Age as of 4/26/14
Guardian Name & Telephone #
Gender
Age
Name and Age as of 4/26/14
Guardian Name & Telephone #
setstats
Female          15-18 yrs*
Female          11-14 yrs*
Female            7- 10 yrs*
Male                16-18 yrs
Male                13-15 yrs
Male                10-12 yrs
Male                  7-  9 yrs
        
Longboard             Shortboard     
Longboard             Shortboard
Longboard             Shortboard
Longboard             Shortboard
NOVICE Division:  (For individuals who have surfed for a year or less).
Male    Female         10 yrs & under           Longboard / Shortboard combined  
Male    Female         11 – 15 yrs                  Longboard / Shortboard combined
Menehune Contest Brackets* (boys and girls separate divisions)
SUPER Menehunes 6 yrs & under:   Male/Female combined  (not judged)  
PARENTS! (MUST HAVE CHILD IN THE CONTEST)
Dads of Groms - "DoGs"                            Longboard / Shortboard combined  
Moms on Board - the "MOB"                    Longboard / Shortboard combined
Early bird discounts are currently in effect and will expire at midnigh on March 24
SIGN UP AREA E
PARENTS'  DIVISION $60 DONATION   
early bird discount of $10 expires March 24
Gender
Longboard/Shortboard
Name and Age as of 4/26/14
Contact Name & Telephone #
SIGN UP AREA F
We do not turn anyone away for their inability to pay.  Your donation
will help us underwrite the cost of another participant