OFFICIAL ENTRY FORM

USA-WS Membership # Date of Birth
Participant Name
.
Address
.
City State Zip
Phone Fax Email

PAYMENT INFORMATION: ENTRY FEE PER PERSON - $150  FAMILY ENTRY FEE - $300 (2 or more competitors) PayPal is the preferred form of payment.  (Fee includes 1 banquet ticket per competitor.  All entries, with fee, a copy of USA-WS membership card, bio, and release MUST be postmarked by 5:00 pm, Friday August 19, 2011 or received by August 22, 2011. 
Late fee:  $25 per day per competitor (August 23-26).  No entries will be accepted after August 26, 2011.  NO EXCEPTIONS.

Clinic Fees: $15 each. Only renewal clinics are offered. Clinics may be cancelled if registration is low.
Please check all boxes that apply. Clinics to be held September 2nd during practice hours.  Schedule TBA

Officials Clinic (Judges, Scorers)         Drivers Clinic        Safety Clinic          

Additional Banquet Tickets: $28 each. One ticket is included with entry.  Kids under 12- $14 each.

Practice sign up.  Practice will be held on Friday, September 2nd
Practice sets: $10 (1 set = 4 passes or 4 falls)            Two sets per competitor are allowed. Passes must be consecutive and may not be shared. Riders not on the dock at their scheduled time will be placed at the end of the running order or as time allows.
(Please note that times are approximate.  Riders must be flexible.)

Slalom Practice, Friday, September 2 (08:00-11:00)
08:00-08:30    08:30-09:00    09:00-09:30   09:30-10:00    10:00-10:30   10:30-11:00
Tricks Practice   Friday, September 2 (11:00-02:00) 
11:00-11:30   11:30-12:00    12:00-12:30   12:30-01:00     01:00-01:30   01:30-02:00

Please check division and events you plan to ride
xxxJr. Boys Boys MI MII MIII MIVMVMVI MVII.MVIII MIX.Jr. Girls Girls WI WII WIII WIV WV WVI WVII WVIII WIX OW OM
Slalom
x... . . . . .. . . . . . . . . . . .. . . . . .
Tricks.x.. . . . . . . . . . . . . . . . . .. . . . . .
Freestyle .. . . . . . . . . . . . . . . .. . . . . . .
Flipout . . . . . . . . . . . . . . . . . .. . . . . . .

Payment Method: Money Order  Check (payable American Kneeboard Association)  Cash Credit Card/Paypal

DON’T FORGET
 • Entry form • Entry Fee • Clinic Fees • Practice Fees • Banquet Tickets • Bio • Waiver • Copy of USA-WS membership Card