2008
Jim Territo
ENTRY
FORM
Please
Print: # will be assigned upon receipt of payment & 1st Name
will always be the Boat Captain Name
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LIABILITY
RELEASE
In
signing this agreement, I hereby release the organizers (Huron Valley Sport
Fishing Club) and Down River Walleye Federation – (hereafter referred to as D.W.F),
its officers, and employees, its sponsors and their agents from any and all
damages, claims, demands, costs or expenses relating to injuries, death,
damage, theft, fire or any loss of any persons or any property which I may
sustain and or which I may cause by reason of participating in or in connection
with this tournament. I further release (Huron Valley Sport Fishing Club, DWF),
et all for all damages relating to adverse weather conditions while
participating in this tournament. It is my responsibility to seek safety when
adverse and/or unforeseen weather conditions occur prior to, during or after
the tournament. I signify by my signature that I have read, understand
and agree to the above.
Signature: Date: Phone No. .
Signature:
Date:
Phone No. .
Signature: Date: Phone No. .
Signature:
Date:
Phone No. .
Signature: Date: Phone No. .
Signature:
Date:
Phone No. .
I have received a copy of the tournament rules and hereby certify that I have read and understand the rules and assume responsibility for adherence to them by the team
*Captain’s signature __________________________________________ Date ______________
* No unsigned Entry Form will be processed for
competition.
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Keep this Section
and Present it at the Launch and Weigh-In
Top portion with payment to be turned in at
Entry Fee: $20 Per Person
Times: 7:00 am to 2:00 pm
Weigh-in to be held
at Elisabeth Park
Weigh-in begins at
3:00pm
Please
Print: # will be assigned upon receipt of payment & 1st Name
will always be the Boat Captain Name
|
# |
______________
Boat Name |
_______________________________________ |
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Name |
Address |
City |
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1 |
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2 |
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3 |
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4 |
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5 |
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