Official Entry Form

Official Entry Form
ENTRY FEE:
$20.00 Team Membership ........... Pd.
$50.00 Team Entry Fee ............... Pd.
$3.00 Optional Big Drum Pot ........ Pd.

Entry Paid Before 2:00 pm Tourn. Day,
plus, 1 Team Member must sign-up in person, or...................(NO POINTS)

Date of Tournament:___________________________________,2006

Please Print This Form and Bring It by Fish-N-Stuff at the address below

Current Member:________YES _______ NO
My Membership Expires: ______________________
Non Members can join at lake or send $20 with entry
Name (1)_____________________________________________________________
Address _____________________________________________________________
City/State/Zip ________________________________________________________
Telephone __________________________ SS#_____________________________
Email Address: _______________________________________________________

Current Member:________YES _______ NO
My Membership Expires: ______________________
Non Members can join at lake or send $20 with entry
Name (2)_____________________________________________________________
Address _____________________________________________________________
City/State/Zip ________________________________________________________
Telephone __________________________ SS#_____________________________
Email Address: _______________________________________________________

PARTICIPANT AGREEMENT, RELEASE, AND ACKNOWLEDGMENT OF RISK
Having acquainted myself with these rules, I have completed this application and am enclosing my entry donation payable to; Fish'N Stuff Tuesday Night Tournament. In signing this application above, I hereby waive and release all other contestants, host, sponsors, and Tournament Officials from all claims or injury/ damage incurred with this Tournament. I further understand that the Tournament Committee reserves the right to refund this entry fee, if it shall choose for any reason not to accept this application.
By my signature, I also agree to accept the results of any polygraph test given in conjunction with this Tournament. I'm currently a member in good standing of the Fish'N Stuff Tuesday Night Tournaments. I swear that the above facts are true and accurate to the best of my knowledge.
(1)___________________________________(2)__________________________________
Signatures (Must be signed by both contestants)

______ We are current members of Fish'N Stuff Tuesday Night Tournaments Tournaments

______ We wish to join Fish'N Stuff Tuesday Night Tournaments Tournaments ($20 Annual Membership) $_________

______ Enclosed is our $50 Entry $_________

______ Enclosed is our $3 Big Drum Pot entry $_________

LAKE______________________________________TOTAL ENCLOSED $_______________

Complete Entry Form with check/cash
bring it to Fish'N Stuff
6506 Warden Road
Sherwood Ar, 72120
(501) 834-5733