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Camp Mak-A-Dream Walleye Benefit Entry Form Tourney
hours: 7 a.m. to 3 p.m., Saturday, May 31, 2008 Rules
meeting and barbecue: 7 p.m., Friday, May 30, 2008 at the
Silos, Canyon Ferry Reservoir Sponsored
by Walleyes Forever and Montana PikeMasters (Membership
not required to fish this event) Team
Captain: Name______________________________________
Email_______________________________ Address___________________________________________
SS#_________________________ City________________________________________
State_______________ Zip_____________ Home
Phone (_____)_____________ Work or
Cell Phone (____)_______________ Additional team members: Name___________________________________________________
Age if under 16:_________ Name___________________________________________________
Age if under 16:_________ Name___________________________________________________
Age if under 16:_________ Name___________________________________________________
Age if under 16:_________ Entry fee: $60 per boat
(includes $50 tourney entry fee and $10 conservation fund fee) Make checks payable to: Camp Mak-A-Dream Walleye
Benefit Mail entry to: Camp Mak-A-Dream
Walleye Benefit, 1303 W. 4th St., Laurel, Mont. 59044 For information: Call Tournament Director Peggy Lawver at
(406) 628-2141 Release
of Liability. By
signing the tournament entry form, I and all participants in my boat agree to
the following: I and everyone in my boat
understand that in consideration of being permitted to participate in the Camp
Mak-A-Dream Walleye Benefit, for myself, heirs,
successors, executors, administrators and assigns, hereby release and forever
discharge any of the sponsors, committee members, participants, or any other
entity from any and every claim, demand action or right of action, of any
kind and nature, either in law or in equity, arising from or by reasons of
any bodily injury or personal injuries, known and unknown, death or property
damage resulting or to result from any accident which may occur as a part of
my participation in this tournament, whether by negligence or otherwise. I and everyone in my boat also release all
officials, staff, participating sponsors, and participants from any claim
whatsoever on account of first aid, treatment or services rendered me during
my participation in this tournament.
Furthermore, if it is determined that any rescue or other difficulty I
incur is due to my own negligence, I and everyone in my boat will be
responsible for any and all fees associated with these efforts. Team captain’s SIGNATURE: X__________________________________________
Date__________ 100 percent of tourney entry
fees will be donated to Camp Mak-A-Dream |