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This Is An
Please Read The Rules
Entry Form Is Located At
Of This Page.
|PLEASE ENCLOSE PAYMENT OF $105.00 Make Check or Money Order out to 'Phil McCarson'
PARTNER #1: (Print)__NAME_______________________________________________PHONE #___________________________
CITY, STATE, ZIP__________________________________________________________________________
PARTNER #2: (Print)__NAME_______________________________________________PHONE #___________________________
CITY, STATE, ZIP_________________________________________________________________________
Having read the rules concerning this tournament & signed this application for entry, I agree to waive & release the sponsors, other contestants, host
marinas & their agents, polygraphers & tournament staff of all claims of personal injury, property damage or loss thereof, loss of life or any other liability
incurred by me or my partner while participating in this event. I agree that the above statements are true & agree to take a polygraph test if requested &
will accept the decision of the polygraph operator & tournament director thereafter. I also have at least $100,000 in boat liability insurance, current
Fishing License, the current Boat Owners Registration & current ID.
Partner #1 Sign:_______________________________________________________Date:________
Partner #2 Sign:_______________________________________________________Date:________
Mail Entries To: Phil McCarson....922 Valetta Rd....Durham, NC....27712
Starting position determined by when entry is received. Flights determined by number of entries.
Contact Phone Numbers: 919-471-1571 Home........919-971-5042 Cell
|Right Click On Entry Form and
Click Print For A Copy.
|Enter Now For 2018 !!!