All fields MUST BE COMPLETED with accurate participant information.

2021 NSSA SOUTHEAST CONFERENCE ENTRY FORM

Step 1. - Surfer Information form:

Please complete the information below for the SURFER who will be competing in the NSSA events. This may or may not be the same as the payment information.

NSSA Member Name

I Agree To the License Agreement. I have read and accepted this release of liability and assumption of risk agreement, fully understand it's terms, understand that I have given up substantial rights by agreeing to it. Additionally, by clicking this box I agree to be bound by the terms of the NSSA Hold Harmless Form and am doing so voluntarily without any inducement.