|
PLEASE USE YOUR BROWSER'S PRINT FEATURE TO PRINT OUT THIS FORM - COMPLETE IT AND BRING TO THE TOURNAMENT OR MAIL YOUR ENTRY FEE AND FORM TO:
|
||||||||||
|
WEST POINT LAKE EXTREME TOURNAMENTS PRINTED ENTRY FORM |
||||||||||
|
|
||||||||||
| TOURNAMENT TYPE (CIRCLE ONE) | WINTER | KIDS | ALL-NIGHT | FATHERS DAY | AIRWAYS | |||||
| ENTRY FEE PAID (INCLUDES BIG FISH) | $100 | $80 | $100 | $60 | $150 | |||||
| TOURNAMENT DATE | ||||||||||
|
|
||||||||||
| BOATER NAME | ||||||||||
| BOATER STREET ADDRESS | ||||||||||
| BOATER CITY, STATE, ZIP | ||||||||||
| AGE (REQUIRED FOR KID'S TOURNAMENTS) | ||||||||||
| BOATER SIGNATURE | ||||||||||
|
|
||||||||||
| PARTNERS NAME | |
| PARTNERS STREET ADDRESS | |
| PARTNERS CITY, STATE, ZIP | |
| AGE (REQUIRED FOR KID'S TOURNAMENTS) | |
| PARTNERS SIGNATURE |
|
PARTICIPANT AGREEMENT & RELEASE: Our signatures release all sponsors, officials, organizations, or individuals from any and all liability in any form for any occurrence whatsoever resulting from my participation in this event. I agree to submit to a polygraph examination if requested by tournament officials. I understand that the result of this polygraph examination is final. I further agree to abide by the rules of this tournament without exception. I have read the rules and understand each of them. MSI reserves the right to refuse entry or participation in this and any other MSI sponsored tournaments for any reason and at any time. |
|
BY FILLING OUT AND SIGNING THIS FORM YOU ARE STATING THAT YOU HAVE READ AND UNDERSTAND THE TOURNAMENT RULES POSTED ON EITHER THE WEST POINT LAKE EXTREME PRINTED REGISTRATION FORM, ON OUR RULES WEB PAGE AT www.marinaservicesinc.com OR BY REQUESTING A FAXED TOURNAMENT RULES PAGE FROM MARK BIAGIOTTI AT (706) 523-0547. |