Official Entry Form

 

    Name (1)______________________________SSN ___________________________

 

    Boat Registration # ________________________________ State________________

 

    Address _____________________________________________________________

 

    City/State/Zip __________________________________________________________

 

    Telephone H#_ __________________________ Cell#_________________________

 

    Email Address: _______________________________________________________

 

      

 

    Name (2)_______________________________SSN___________________________

 

    Address ______________________________________________________________

 

    City/State/Zip ________________________________________________________

 

    Telephone H#___________________________ Cell#___________________________

 

    Email Address: _______________________________________________________

 

  

 

      In signing this entry form each of the undersigned agrees to the following: (i) To release all  tournament officials, hosts, and sponsors for any and all damages, claims, demands or expenses relating to or resulting from this tournament, including personal injury and/or property damage. (ii) Not to sue or make any claim against any individual or group involved with this tournament now in the future concerning any injury or damage related to or resulting from this tournament. (iii) To indemnify and hold The 2 of Us and its officials or employees (hereinafter referred to as The 2 of Us) harmless from any liability whatsoever if The 2 of Us or its officials, or employees are involved in a lawsuit resulting from the undersigned's actions, regardless of whether intentional or accidental, and (iv) To accept the tournament director's decision as final in all matters pertaining to the tournament.

 

      This signed release will also serve as notice that my insurance carrier will not sue or make claim against The 2 of Us and its officials or employees for any claims they may pay on my behalf.

 

      By signing this form I acknowledge that I understand that failure to take and/or clear one or more polygraph tests as requested by The 2 of Us will result in my disqualification with no refund or recourse against The 2 of Us. Further, I certify that I have read and understood all the rules and regulations concerning this tournament which are set forth in the "Official Rules". I also acknowledge that any misstatements or untruthful statements made by the undersigned, are my own personal responsibility.

 

      

 

 (1)___________________________________                                (2)__________________________________

    Signatures (Must be signed by both contestants)

 

______ We are current members of The 2 of Us 

                (Membership valid January 1st to December 31st) 

______ We wish to join The 2 of Us ($30 Annual Membership Fee)                                                          $_________

 

______ Enclosed is our $70 Bonus Entry (mailed 6 days prior to event)                                                  $_________

 

______ Enclosed is our $80 Entry (paid after Monday preceding the event)                                           $_________

 

LAKE______________________________________                                        TOTAL ENCLOSED         $_________

  

 

Mail completed Entry Form with check or money order payable to The 2 of Us.  Director's  addresses are shown on Contact Us page.