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Registration Form
Entry fee $950.00 per Team (Four members with each entry fee) no angler limit
or number of persons on a boat within US Coast Guard Regulations.
(No checks after August 31th 2015) LATE entries USD $ 1050.00 per Team
BOAT OWNER'S INFORMATION:
Name of Boat:
Where Docked:
Make of Boat:
Length:
Boat Owner's Name:
Boat Registration or Documentation Number :
Federal Permit Number:
Boat Owner's Address:
Do you have liability insurance on your boat? Y N
City:
State:
Zip:
Phone:
E-Mail:
CAPTAIN AND CREW INFORMATION:
Captain's Name:
Captain's Address:
City:
State:
Zip:
Phone:
E-Mail:
ANGLERS' INFORMATION:
(Please use angler no. 1 if the captain is also an angler)
Angler No. 1 Name:
Address:
City:
State:
Zip:
Phone:
E-Mail:
Angler No. 2 Name:
Address:
City:
State:
Zip:
Phone:
E-Mail:
Angler No. 3 Name:
Address:
City:
State:
Zip:
Phone:
E-Mail:
Angler No. 4 Name:
Address:
City:
State:
Zip:
Phone:
E-Mail:
Angler No. 5 Name:
Address:
City:
State:
Zip:
Phone:
E-Mail:
REGISTRATION FEE: (Enter fees in boxes below)
$950.00 Per Team:
$1050.00 After August 1, 2015:
$125.00 Additional Angler:
Total Fee:
T-Shirts: (four shirts per team entry, one shirt per additional angler)
XL L M
Entry Fee : $950.00 per TEAM ( no angler limit)
Make tournament checks payable to Fish In The Spread and mail to
C/O Fish In The Spread, DBA
9 Pine Grove Lane
Nantucket, MA 02554
Tel : (508) 325-9906
Restaurant (508) 228-2033
e-mail : purplesage@nantucket.net
Entry Agreement:
Participants agree to be bound by and comply with all tournament rules and
regulations as published and amended. It is understood that all participants
enter at their own risk and Fish In The Spread, it's administration, it's civilian
staff, any individual or legal entity, any public, semi-public or private administration
that has contributed in any way to the preparation, composition or promulgation
of Fish In The Spread, the tournament and of any related information or
documentation, hereby disclaim any overall liability arising from any inappropriate
actions, furthermore, neither Fish In The Spread, nor members of it's International
Staff shall be held liable for any financial or other consequences whatsoever arising
from such inappropriate actions and damages. Moreover, Fish In The Spread
reserves the right to initiate any legal action it shall deem necessary. Fish In The
Spread undertakes no responsibility for any losses. You also agree to sign the
waiver of limited liability or your entry will not be valid.
The consultation or use of Fish In The Spread shall automatically imply full
acceptance of the above disclaimer of liability and as the boat owner/Captain
you accept full and all liability and responsibilities caused.
Agreement and release from Liability & Waiver
1. I ________________________________ acknowledge that I have voluntarily
agreed to participate in the Nantucket Bluefin Tuna Tournament 2015 in the
waters off of Nantucket.
Assumption of Risk
2. I AM AWARE THAT SPORT FISHING AND MOTORIZED BOATS ARE A
HAZARDOUS ACTIVITY. I AM VOLUNTARILY PARTICIPATING IN THESE
ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED, AND I AGREE
TO ACCEPT ANY AND ALL RISK OF INJURY OR DEATH, AND VERIFY THIS
STATEMENT BY PLACING MY INITIALS HERE _________.
RELEASE-2015
2. As consideration for being permitted by Fish In The Spread its associates
and affiliates or one of its affiliated organizations, dealers or sales agents to
participate in these activities, I agree that I, my assignees, heirs, distributees,
guardians and legal representatives will not make a claim whatsoever against,
sue, or attach the property of Fish In The Spread or any of its affiliated
organizations, dealers or sales agents, or the suppliers of any of the equipment
I will use in this activity, for injury or damage resulting from negligence or
other acts, however caused, by any employee, agent , dealer, representatives
or any of its affiliate organizations as a result of my participation in boating
and fishing in the Nantucket Bluefin Tuna Tournament. I hereby release Fish
In The Spread and any of its affiliated organizations and sponsors from all
actions, or legal claim or any claim, or demands that I, my assignees, heirs,
distributees, guardians, and legal participation in boating and fishing in the
Nantucket Bluefin Tuna Tournament. Participants agree to be bound by and
comply with all tournament rules and regulations as published and amended.
It is understood that all participants enter at their own risk and Fish In The
Spread, it's administration, it's civilian staff, any individual or legal entity, any
public, semi-public or private administration that has contributed in any way
to the preparation, composition or promulgation of Fish In The Spread, the
tournament and of any related information or documentation, hereby disclaim
any overall liability arising from any inappropriate actions, furthermore,
neither. Fish In The Spread, nor members of it's International Staff shall be
held liable for any financial or other consequences whatsoever arising from such
inappropriate actions and damages. Moreover, Fish In The Spread reserves the
right to initiate any legal action it shall deem necessary. Fish In The Spread and
The Nantucket Bluefin Tuna Tournament undertakes no responsibility for any losses whatsoever.
3. Knowing and Voluntary Execution: I have carefully read this agreement and
fully understand its contents. I am aware that this is a release of liability and
a contract between myself and Fish In The Spread and or its affiliated
organizations, dealers and sales agents and sign of my own free will.
1st- 3rd placed teams or team members do all agree to undergo and submit
to a full Polygraph: if there is a protest filed or asked by any tournament
official or committee member. Failure to submit to or pass the Polygraph
by any team or member will be an automatic disqualification from the entire
tournament and ALL money/prizes forfeited. If any team member fails the
polygraph the whole team will be responsible for the costs of the polygraphs.
Tournament officials reserve the right to change and amend these rules at
anytime. (see rules for clarification or call)
Executed at ____________________on _________day of _______
Boat Owner signature: ___________________________________
Print Name: _______________________________
Team Member 1.(Print Name) ___________________________________Signature_______________________
Team Member 2.(Print Name) ___________________________________Signature_______________________ ___________________________________Signature_______________________
Team Member 4.(Print Name) ___________________________________Signature_______________________
Team Member 5.(Print Name) ___________________________________Signature_______________________
This form needs to be signed, completed and handed in before Sunset Friday
05th of September 2015, you can hand this in at Slip 14 Restaurant or mail the
entry form to: Slip 14 C/O Jonas Baker, 9 Pine Grove Lane, Nantucket, MA 02554.
Each team member entered must sign to make the entry binding.
Applicants Signature: _______________________________
Dated:________________
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