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Entry Form for the PE Kitesurfing Championship

Weekends of 7th - 29th October 2006

Entrance fee (Registration R150.00 + R30 / Day) and signature due at registration.

Please select the Kitesurfing Schedule as pdf.file

First Name:*

Last Name:*

Date of Birth:*

Gender:*

Male Female

Shirt Size:*

Weight:*

Address *

Tel *

Code Number

Fax:

Code Number

Cell / Mobile:

eMail:*

When did you start to kiteboarding ?:

Where did you kite ?:

Type of equipment you use ?:

What are your best tricks / moves ?:

What category would you enter in ?:

Intermediate Top Flight

Previous events entered ?:

Finishing Position

Will you attend all weekends, if not please specify ?:

Is there anyone you would like to enter with as a partner for a team event ?:

Disclaimer:

Each rider is responsible for making the decision on whether to start or remain in the competition. It is the sole responsibility (or the guardian if 16 years or younger) to take the decision as to compete if they judge conditions to be beyond their skill level. If they judge conditions to be beyond their skill level they should not compete. Organiser shall accept no responsibility for any injury or equipment damage. This is a dangerous sport. Riders must accept all responsibility for entering. No refunds. Each rider is personally liable for any damage to property or injury to a third party, which arises out of their equipment or their actions.

I ACCEPT I DO NOT ACCEPT