2015 Drum Tournament Entry Form

Transcription

2015 Drum Tournament Entry Form
th
17 ANNUAL DRUM TOURNAMENT
March 13 - April 4, 2015 REGISTRATION
$25.00 PER ANGLER
All participants enter at their own risk. NASSAU SPORT FISHING ASSOCIATION hereby disclaims any and all liabilities for
property damage, bodily injury, or any other claim(s) made by participants and/or any person involved in this Tournament.
Participants entering this Tournament are advised to acquire adequate insurance covering vessel, crew, and other liability.
I have read and fully understand all the rules of the NASSAU SPORT FISHING ASSOCIATION’S DRUM TOURNAMENT.
As a boat Captain/owner/vessel master/angler, I am responsible for my equipment, boat and crew at all times, and hereby
release NASSAU SPORT FISHING ASSOCIATION, its principals, and affiliates from all liability related to participation in
this Tournament. In consideration of the Tournament accepting this registration, the registrant hereby authorizes the
Tournament to use the registrant’s name and/or likeness, as well as that of any and all crew members, free of
compensation, for promotion and advertising purposes in any media form and reproduction, including but not limited to
newspaper, radio, television, brochure, and video. As Captain/owner/vessel master/angler, I further understand it is my sole
responsibility to decide to fish and participate in this Tournament. I hereby release the NASSAU SPORT FISHING
ASSOCIATION and Leaders and Sinkers, their principals and their affiliates from any liability.
Signature of Participant: ________________________________________
Print Name: __________________________________________________
Address: _____________________________________________________
City, State, Zip: ________________________________________________
Daytime Phone: ___________________
Cell: ____________________
E-Mail: __________________________________________________
Date: _________________________
**Debit card applications accepted @ Leaders and Sinkers only**
Credit Card Number: ____________________________
Credit Card Type:
____________________________
Expires: __________
****TOURNAMENT WITHIN A TOURNAMENT: $10 Additional****
Total Amount Collected: $__________
Cash / Check # __________