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2009 Anglers Quest

Indicate which tournament(s) you wish to enter.

Super Team ($230 per team/ww cc $240 per team)

Tuesday Series ($90 per team/ww cc $100 per team)

Wednesday Series ($85 per team/ww cc $95 per team)

Saturday Series
(Livingston=$155.00 per team/ww cc $165 per team)
(Sam Rayburn=$155.00 per team/ww cc $165 per team)
(Conroe=$155.00 per team/ww cc $165 per team)

2009 T-Match Series
(Entry Fee= $500 per team)

Tournament Date :


  Partner #1:
Name:
Address:
City:
State:
Zip:
Phone:
SSN#:
E-Mail:
  Partner #2:
Name:
Address:
City:
State:
Zip:
Phone:
SSN#:
E-Mail:
  Boat Information:
Boat Mfg:
Boat Length:
Engine HP:
Model:
  Payment Information:  Additional $10.00 handling fee for credit card charges
Method of Payment: Check
Credit Card on file
Call Office

 

RELEASE & WAIVER


In return for being allowed to participate in this contest, I expressly release and agree to hold harmless the sponsors, officers, employees, agents and affiliates from any and all claims as result of personal injury, property damages, accidents or illnesses (including claims caused in whole or in part by the negligence of the sponsor) that I may suffer which may arise during the course of or in connection with this Tournament. I further expressly assume the risk of any personal injury, property damages, or any other damages of any nature, which I may sustain in connection with my participation in this contest. I also release to A/Q the use and reproduction of any and all photographs and pictures taken during this event. I have read and understand the rules regulating this tournament. I also understand that cheating in this tournament is a punishable felony under current State statutes. Sponsors are defined as Anglers Quest, and any others supporting this event.

Signature 1: _________________________________________________________________


Signature 2: _________________________________________________________________
 
 
If not submitting Entry Form electronically -- Please Print this Entry Form and either:
Mail Entries & Checks to:
ANGLERS QUEST
18923 Keyturn Ln-Humble,Tx-77346
PH. 281-852-8842
OR FAX 281-852-8662


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