Alpine
Helen's 19th Annual
Trout
Tournament
19th
Annual Trout Tournament -- March 29,
2008
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Name |
Age: |
Address |
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City |
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State/Zip |
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Email (Please Print) qqqqqqqqqqqqqqqqqq |
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Payment $10.00 Adult $5.00 Children under 12 |
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| M/C or Visa card number: qqqq-qqqq-qqqq-qqqq | |
| Expiration date: qq/qqqq Zip Code: qqqqq | |
| Signature: ___________________________________________________________ | |
| Phone Number: qqq-qqq-qqqq | |
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19TH
ANNUAL TROUT TOURNAMENT |
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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 ___________________ |
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Send Payment to: Helen Chamber, PO Box 192, Helen Ga. 30545 Phone number : 706-878-1619 |