Registration

2013 Big Rock Registration Form

**Rules and/or Registration information is subject to change prior to the upcoming Big Rock Tournament, June 7-15, 2013

HMS Permit #
Link to Permit 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. 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 (Mandatory) includes SHIMANO Release Release Purse (Daily and Weekly)	$2,500
	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
	Gamefish Level V.I Dolphin Winner Take All	$1000
	Fabulous Fisherman's Level VI *Must Enter Level I, II, III, IV to Enter Level VI	$5,000
Make checks payable to Big Rock Please check which levels you are entering and add for Total.		TOTAL: Rec'd by:

Total for All Levels $18,000
Level I 4 passes; Level I & II 6 passes; Level I, II, III IV & VI 8 passes

Major Sponsor