Your Name (required)
Your Email (required)
Address
Phone
Mobile
AGE turning 2016
Date of Birth
Gender MaleFemale
T-Shirt size
I am a member of another Boardriders? YESNO
MICROGROMS Start at 11:00 am Senior 7:30am
I will be available to surf for SOUTHBRIDGE BOARDRIDERS in REPRESENTATIVE EVENTS? YESNO
POINTSCORE HELD ON THE LAST SUNDAY OF EVERY MONTH (unless Specified) SELECTED AGE DIVISION
Please note that you will remain in your chosen age group for the entire 2017 Southbridge season Members competing in Surfing Australia/Surfing NSW sanctioned events after December 2017 may need to review their age division for those events.
U-8 to Juniors must be under the age for the entire Calendar year Microgroms U-8 $30Microgroms U-10 $30Microgroms U-12 $30Cadets U -14 $30Juniors U -16 $30
Opens to the Legends must be over the age for the entire 2017 Calendar year 18 Under 18 $50Opens Over 18 $50Over Over 35 $50Masters Over 45 $50Legends Over 60 $50
Make sure you enter the correct division as the points can not be altered on a wrong division entry
Join as a family of 3 or more and save $10
In signing this form I agree that all the information I have provided on this form is true & accurate. I am aware that surfing can be a dangerous activity & that I or minors in my care are under no obligation to enter the ocean and that I may withdraw myself or minors in my care from event at any time, if I consider the conditions or location unsuitable. Furthermore, I indemnify Southbridge Boardriders inc it’s Committee, Sponsors, Officials & Agents from Liability regarding any injuries to myself or minors in my care or damage to our property whatsoever caused during my/our participation in all events organized by Southbridge Boardriders inc. I permit any still or moving images of myself or minors in my care taken during surfing events to be used for promotional purposes by the Club. I understand that I or minors in my care need to become a financial member of Surfing Australia if I or they wish to enter Surfing Australia/Surfing NSW Events. Finally, I agree to abide by all the rules and Laws of Southbridge Boardriders Inc, as I understand they Southbridge Boardriders follow the Surfing Australia’s Code of Conduct Rulings and no bad behavior will be tolerated.
Membership fee includes T-Shirt Direct Deposit BSB 633-000 Account Name Southbridge Boardriders Accountno. 131 230 203 Pay at pointscore or Post Southbridge Boardrider’s Club P.O Box 4282 Shellharbour NSW 2529
Please state form of payment CHEQUECASHDirect Deposit
