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Captain Mad Jack's Tournament Registration Form
Email address *
Captain's Name *
Captain's Phone Number *
Captain's Address *
Captain's Emergency Contact (Name and Phone Number) *
Co-Captains Name *
Co-Captains Phone Number *
Co-Captains Address *
Co-Captains Emergency Contact (Name and Phone Number) *
Co-Captains EmergenMyself and my co-captain have read and agree to the release form. *
I understand that good sportsmanship is expected of all individuals during the tournament.Any disorderly conduct will be ample reason for disqualification. *
I agree to adhere to all tournament rules set in place during tournament hours. I agree to release the organization and or the organizing personnel from any responsibility for damage or injury of my person or property resulting from participation in this event. I also agree to release the organization or organizing personnel from any responsibility for such damage or injury claims from my family members as well as any person or persons claiming to represent such family or myself. *
I agree to follow the catch and release rules set in place during this tournament and understand that keeping any fish for other reasons than tournament use for will disqualify me from any further tournaments. *
I agree to pay (please check all that apply) *
Required
Captain Signature *
Co-Captain Signature *
Date
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