2016 NSSA West Coast Championships
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.
First/Last (Participant) | |
Birthday (Participant) | |
Address (Participant) | |
City (Participant) | |
State (Participant) | |
Phone (Participant) | |
Email (Participant) | |
RELEASE OF LIABILITY AND ASSUMPTION OF RISK 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. |
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