Please complete the form below with details of each competitor (up to four competitors can be entered in one payment). Once completed, scroll to the bottom of the form, enter the total amount to be paid in the box provided & click "Proceed to Payment Page", then follow the screen prompts to pay your competition entry fee. Each entry MUST be completed by the Tuesday BEFORE each carnival (click here for cut off dates). Please contact our Nipper Co-ordinator, Prue McCulloch (0400 854 391) or email us at ulverstoneslsc@gmail.com if you are unsure how to proceed.                                                                                                (GO BACK)

Please note: A discount is available if three Statewide Carnivals plus the State Titles are entered before the beginning of the first carnival. 

Competitor 1
Name of Competitor 1 *
Name of Competitor 1
Surf Carnival(s) Being paid for *
$
Competitor 2
Name of Competitor 2
Name of Competitor 2
Surf Carnival(s) Being paid for
$
Competitor 3
Name of Competitor 3
Name of Competitor 3
Surf Carnival(s) Being paid for
$
Competitor 4
Name of Competitor 4
Name of Competitor 4
Surf Carnival(s) Being paid for
$
Add up all amounts to be paid & enter the total here
$