RANSOM JUNIOR
TAG TEAM SURFING TITLES 2011
TEAM REGISTRATION FORM

Please fill in all required * fields. It is not an online form.
You will need to print and post the form with money order/cheque ($250 per team of 6 surfers ) made payable to:
Carter Surfing
Mail : P.O. Box 1832 Kingscliff, NSW 2487 Or pay direct to ANZ Bank BSB 012096 – Acc # 4857 17682
Should you need assistance in completing the form please phone: Jay Carter 0407 203824 e : jaycarter1@bigpond.com

Team/Club *

Team/Club Contact Name*

Street Address*

Town *

Postcode*

Phone*

Email*


Our Club /Team will 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. We have read the full the disclaimer which is available on tagteamsurfing.com

Signature on behalf on Club/Team*