Alpine Helen's 19th Annual
Trout Tournament

Saturday - March 29, 2008

  1. Please print this form
  2. Fill out
  3. Mail to address listed below with payment.
  4. Pre-registration must be mailed by March 24th in order to be received in time.
  5. Master Card, and Visa charges accepted.
  6. Be sure to come by registration area for your two free raffle tickets.

19th Annual Trout Tournament  -- March 29, 2008

Name

Age:

Address

City

State/Zip

Email (Please Print) qqqqqqqqqqqqqqqqqq

Payment $10.00 Adult  $5.00 Children under 12

M/C or Visa card number: qqqq-qqqq-qqqq-qqqq 
Expiration date: qq/qqqq         Zip Code:  qqqqq
Signature:  ___________________________________________________________
Phone Number:  qqq-qqq-qqqq

 

19TH ANNUAL TROUT TOURNAMENT

Inconsideration of being allowed to participate in any way the 19th Annual Trout Tournament, the undersigned:

1. Agrees that before and during my participation, if I believe anything is unsafe, I will immediately advise the event supervisor or other person in authority

 at the event of such condition and refuse to participate;

2. Acknowledges and fully understand that each participant will be engaging in activities that involve the risk of serious injury, including permanent disability and death and severe social and economic losses which might result not only from my own action, inactions or negligence of other, or the condition of the premises, any equipment used. Further, that there may be other risks no known to us or not reasonable foreseeable at this time:

3. Assumes all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death;

4. Release, waive, discharge and promise not to sue the Greater Helen Area Chamber of Commerce, its affiliated clubs, their respective administrators, directors, agents or other volunteers and employees of the organization, other participants, sponsoring agencies, sponsors, advertisers and if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as “releasees, from demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee or other wise.

 

Signature________________________________________________________        Date ___________________

 

Send Payment to: Helen Chamber, PO Box 192, Helen Ga. 30545

Phone number : 706-878-1619