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 # __________