Lady Angler Registration


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.

I further do hereby acknowledge that I have read and understand the rules of the tournament and agree to be bound by the terms and conditions contained therein.


Signature


Name of Captain

Captain's Address

Captain's City, State, Zip

Mobile # on Boat for Emergencies

Year-Round Contact Phone Number

 

Level I Release and Gamefish (4 tickets)
$500
Level II Winner Take All - Dolphin
Must enter Level I to enter Level II (2 additional tickets)
$500
Non-Fishing Team Charitable Donation $250

Extra tickets for fishing teams $25 each.

 

Make checks payable to Big Rock
Please check which levels you are entering and add for Total.

TOTAL:
 

Rec'd by:

 


Angler Name

Angler Name

Address

Address

City, State, Zip

City, State, Zip

Email

Email
   

Angler Name

Angler Name

Address

Address

City, State, Zip

City, State, Zip

Email

Email
   

Angler Name

Angler Name

Address

Address

City, State, Zip

City, State, Zip

Email

Email