2008 Big Rock Registration Form

HMS Permit #
Current permits expire May 31, 2008  http://www.nmfspermits.com/PermitList.asp

Fill in Boxes on-line then PRINT form.

 Check here if this boat has fished in the Big Rock before.


Boat Name


Pay Prize Money to [Winner]

Make and Length

Winner's Address

Name of Owner

Winner's City, State, Zip

Owner's Address

Winner's Social Security Number

Owner's City, State, Zip

Where Docked During Tournament

Email Address

Boat Engine Type

I, as entrant do hereby RELEASE, DISCHARGE, and HOLD HARMLESS Crystal Coast Tournament, Inc., its officers, directors, and sponsors, whether individual or corporate, from any claim for damages to my person or property incurred by my participation in the Big Rock Blue Marlin Tournament. This release applies to members of my crew and all parties fishing from my boat.

By signing the entry form and paying my entry fee, I acknowledge that I have read this release and am bound by same. This release shall also be binding on my heir, executors, administrator, or assigns.


Signature


Name of Captain

Captain's Address

Captain's City, State, Zip

Mobile # on Boat for Emergencies

Year-Round Contact Phone Number
Level I  (Mandatory) includes SHIMANO  Release 
Release Purse (Daily and
Weekly)                       
$2,500 Make checks payable to Big Rock
Please check which levels you are entering and add for

TOTAL:



Rec'd by:

Check #: 


Level II                  $1,500
Level III
*Must Enter Level I & II to Enter Level III
$5,000
Level IV Winner Take All
*Must Enter Level I, II, III to Enter Level IV
$2500
CSI Gamefish Level V
Yellowfin Tuna, Wahoo, Dolphin
$500
Fabulous Fisherman's Level VI
*Must Enter Level I, II, III, IV to Enter Level VI
*See Rule #8
$5,000

Total for All Levels $17,000 (Lady Angler Entry Form Here)
Level I 4 passes; Level I & II  6 passes; Level I, II, III IV & VI  8 passes