Wave Challenge Surfer Registration << BACK 2022 Wave Challenge Surfer RegistrationFirst NameLast NameYour Team Name (if applicable):AddressAddress Line 1CityStateZip CodeEmailPhone/MobilePlease upload a photo of yourself to include on our websiteChoose File Please tell us about yourself (300 or fewer words)Please tell us why you joined the challenge (300 or fewer words)PLEASE READ BEFORE SIGNING In consideration for being allowed to participate in this event in any way, the undersigned acknowledges and agrees:I voluntarily assume all risks arising from conditions related to my use of the contest site. In consideration of accepting my entry, I, intending to be legally bound, hereby, for myself, my heirs, executors and administrators, hold harmless, and forever discharge the beneficiary organization, the volunteers of this event, the sponsors, their members, agents, any city officials connected with this competition, for all liability for the FleaHab Inc. surfing event. I attest that I am physically fit, and have been sufficiently trained for this event, and hereby grant the sponsors and volunteers such release as described herein. In addition I grant FleaHab Inc the right to use my image or likeness in still or motion form for the purpose of publicizing the event or promoting future events.CONTESTANT E SIGNATURE (IF 18 YEARS OF AGE OR OLDER) (IF UNDER 18 YEARS OF AGE)I hereby certify that I am the parent or legal guardian of the above-named contestant, and do hereby give my consent, without reservation to the foregoing, and agree to hold harmless the aforementioned from any liability I acknowledge that I have read and understand all of the information above. By submitting my registration to the FleaHab Wave Challenge I affirm my acceptance of all terms and conditions.Submit Form
