Bali Adaptive Pro 2019

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Please note categories will be subject to minimum and maximum numbers to ensure that each surfer gets the most waves possible and to allow for change over.

By submitting an entry you are confirming that:

- You understand that adaptive surfing is a dangerous water based sport with inherent risk.
- You are responsible for ensuring that you are physically capbable of surfing the wave and that your ability is sufficient to enable you to do so safely.
- Asian Surf Co. and Adaptive Pro Sports will not be liable for any injury, death, loss of property or damage from your entry to the competition

Email *

Full Name: *

Gender: *

Female

Male

Address: *

Nationality: *

Date of birth: *

YYYY

Dissability Category *

Stand UL

Stand LL

Kneel

Sit Ski

Prone

Prone Assist

Visually Impaired

Description of disability/Medical diagnosis/condition: *

Competition record to date:

Sponsors:

Social media links

Emergency contact (name, phone number, social media, relationship) *

Mobility equipment used to enter the water: *

Yes, I will need it

I can access to the water by myself

If applicable, name of catcher/assistant:

Dietary requirements/allergies: *

I confirm that I've read and understood risks involved and basic terms & conditions described at the header of registering form:

Yes

Send me a copy of my responses.

Submit

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