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Summer Competition -Form Fill

Section One
Q1

Competitor name*

First Name

Q2

Competitor name*

Last Name

Q3

Select age group*

Q4

Event: Ironman/woman*

Q5

Event: Beach Sprint*

Q6

Event: 2Km Beach Run (N/A 60-70+)*

Q7

Event: 1Km Beach Run (60-70+ only)*

Q8

Event: Beach Flags*

Q9

Event: Board Race*

Q10

Event: Board Rescue*

Q11

Event: Surf Race*

Q12

Event: Rescue Tube (Masters Only)*

Q13

Event: Surf Belt (U17-Open only)*

Q14

Event: Surf Teams*

Q15

Event: Surf Ski*

Q16

Event: Double Ski*

Q17

Event: Surf Ski Relay*

Q18

Event: Board Relay*

Q19

Event: Taplin Relay*

Q20

Event: Beach Relay*

Q21

Event: Surf Boat*

Q22

Event: Surf Boat (U23 Only)*

Q23

Event: Open lifesaver Relay*

Q24

Event: 5 person R&R ( U17-Open)*

Q25

Event: 6 Person R&R (Open Only)*

Q26

Parent's Full Name ( If Under 18 yrs of age)

First Name

Q27

Parent's Full Name ( If Under 18 yrs of age)

Last Name

Q28

E-mail*

Q29

Telephone number*

Q30

I have read and understand the Palm Beach SLSC competitor policy and agree to repay the Club any entry fees for non-attendance at the carnival.*

Q31

What Role are you or family members/supporters able to assist with?*