St. Joseph Tournament Entry Form
Date *
MM
/
DD
/
YYYY
First and Last Names *
Your answer
Social Security Number *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Street Address *
Your answer
Partner's First and Last Name
Your answer
Social Security Number
Your answer
Phone Number
Your answer
Email Address
Your answer
Street Address
Your answer
Third Person's Name
Your answer
Street Address
Your answer
Standard Entry - $150
Total Paid *
Your answer
**** 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 and or organizing personnel from any responsability 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 the administering of a polygraph tests if requested prior to prize payment. Failure of such test will result in forfeiture of all prizes.
**** I agree to complete an IRS form I-9 in the event of prize money being paid.


Typing your name below is treated as a binding signature

Participant's Signature *
Your answer
Partner's Signature
Your answer
Third Party Signature
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