WASN Competition Registration Form

(Please Print)
Name:___________________________________________________
Age:_______________
Address: Street:________________________________________________
City:___________________________________
State:_______________Zip:_____________

ASA Amateur Street:
Beginner or Intermediate or Expert (please circle one)

Mini-Ramp: Pro or Amateur
Both Events: $30 or $20 each

Registration opens up at 10:00am. Competition begins with the ASA street competition starting with the beginner category at 12pm. Intermediate and Expert follow in order. Expect each division to take an hour.

All Pre-Registered applicants please check in at the appropriate booth

In between each category Raffle Prize Winners will be announced. $2 per raffle ticket. See Raffle booth for prizes displayed.

Mini-Ramp contest starts 3:30 PM. (time subject to change) Registration for the Mini-Ramp contest will stay open till 2:30 PM

Please also print, sign and send in the Waiver and Release of Liability - no skating without it - NO EXCEPTIONS

Please make all checks and money orders out to:
W.A.S.N. Mailing address: 69 S 4th Street, Brooklyn, NY 11211

All Pre-Registration must be received by July 5th

A Special Event For People Who Believe In the Future of Alternative Sports…

WASN Contact and Sponsorship Information:
KATE GENGO - wasup@erols.com - 718.782.9175
WASN Office: 69 S 4TH STREET 1ST FLOOR - BROOKLYN, NY 11211
XTREME CENTRAL - 973.359.9968 - WWW.XTREMECENTRAL.COM

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