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Summer Competition -Form Fill
Section One
Q1
Competitor name*
First Name
Q2
Competitor name*
Last Name
Q3
Select age group*
U17
U19
Open
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70+
Q4
Event: Ironman/woman*
Yes
No
Q5
Event: Beach Sprint*
Yes
No
Q6
Event: 2Km Beach Run (N/A 60-70+)*
Yes
No
Q7
Event: 1Km Beach Run (60-70+ only)*
Yes
No
Q8
Event: Beach Flags*
Yes
No
Q9
Event: Board Race*
Yes
No
Q10
Event: Board Rescue*
Yes
No
Q11
Event: Surf Race*
Yes
No
Q12
Event: Rescue Tube (Masters Only)*
Yes
No
Q13
Event: Surf Belt (U17-Open only)*
Yes
No
Q14
Event: Surf Teams*
Yes
No
Q15
Event: Surf Ski*
Yes
No
Q16
Event: Double Ski*
Yes
No
Q17
Event: Surf Ski Relay*
Yes
No
Q18
Event: Board Relay*
Yes
No
Q19
Event: Taplin Relay*
Yes
No
Q20
Event: Beach Relay*
Yes
No
Q21
Event: Surf Boat*
Yes
No
Q22
Event: Surf Boat (U23 Only)*
Yes
No
Q23
Event: Open lifesaver Relay*
Yes
No
Q24
Event: 5 person R&R ( U17-Open)*
Yes
No
Q25
Event: 6 Person R&R (Open Only)*
Yes
No
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?*
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