Entry form HEADWORX/V DOLLS SURFING ONLY

Pre entry only:

Dates

Days

Island trial

Oct various

Sat/Sun

Surf Open

Oct 27-29

Fri-Sun

Name

Address

Phone

E.mail

DOB

30/31 Oct

Weekend 1: HEADWORX Island trial residents only

Weekend 2: HEADWORX / VDOLLS Open event

ISLAND TRIAL

Pre entry only

SURF OPEN

Pre entry only

£5 per discipline

Tick Box

£10 per discipline

Tick Box

Mens Long Open

Mens Long Open

Mens Short Open

Mens Short Open

Ladies Open

Ladies Open

Junior Open

Junior Open

Mens Body Open

Mens Body Open

Ladies Body Open

Ladies Body Open

Includes all travel discounts, accomodation discounts, happy hour free beer, and parties!

Winner of each Island trial category receives free entry to open event

I agree that I hold third party insurance of at least £500,000 and that I will continue to do so whilst engaged in

racing during this event. I acknowledge that surfing at sea causes certain risks of death and personal

injury and understand that the decision whether to participate or to continue to race is mine alone and declare

that in no circumstances will the organisers of the event be held responsible for any loss or damage,

to any equipment howsoever caused which does not result from their own negligence

INSURANCE MUST BE VALID. CONTACT THE 'BSA' or 'RYA' ON TEL. 01703 627400 FOR DETAILS

SIGNED

DATE

Please send completed entry form plus payment to:

Wind and Surf 2000

River Cottage, Station Rd, Yarmouth, Isle of Wight. PO41OQX

www.isle-wight.co.uk

info@isle-wight.co.uk tel/fax Eng 01983 760553