RANSOM JUNIOR
TAG TEAM SURFING TITLES 2011
COACH/MANAGER REGISTRATION FORM

Please fill in all required * fields. It is not an online form.
You will need to print and post the form to:
Carter Surfing
Mail : P.O. Box 1832 Kingscliff, NSW 2487
Should you need assistance in completing the form please phone: Jay Carter 0407 203824 e : jaycarter1@bigpond.com

First Name *

Last Name *

Date of Birth*

Team/Club *

Street Address*

Town *

Postcode*

Phone*

Email*


I hereby comply fully with the tagteamsurfing Rulebook and Regulations. Failure to adhere will result in disqualification of offender and team.
I whilst participating in an tagteamsurfing matches will not hold sponsors and organizers nor respsective Councils responsible for any personal injury nor damage to any apparatus used by surfers during the tagteamsurfing event. I have read the full disclaimer which is available on tagteamsurfing.com

Signature*

Please Note: Parent/guardian will also need to complete this section of the form if under 18 years old.
I
Parental/guardian approval will be required prior to the designated surfer entering the tagteamsurfing event.
Parents/Guardians: Please fill in the fields below.
Print and post the entire form.

First Name*

Last Name*

Signature*