OFFICIAL ENTRY FORM

 SPECIFY EVENT

TRI-LAKE DIVISION ($150.00)  - EVENT DATE __/___/_____

ROAD RUNNER DIVISION ($150.00)  - EVENT DATE __/___/_____

STANDARD OPEN TOURNAMENT ($150.00)  - EVENT DATE __/___/_____

BIG BUCKS - MEGA TEAM OPEN SERIES ($300.00)  - EVENT DATE __/___/_____

FALL/WINTER INDIVIDUAL TRAIL ($100.00)  - EVENT DATE __/___/_____

MEMBERSHIP ($25.00 PER PERSON)

Not required for Open or Mega-Team events

TOTAL AMOUNT ENCLOSED $__________

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SPECIFY BOAT PROPULSION TYPE

PROP          JET 

Name:______________________________________________________________________

Address:____________________________________________________________________

City: ____________________________________State:__________ Zip:_______________

Phone: (____)________________SS#:___________________________________________

Tournament Date & Lake:_____-_____-______---_________________________________

Are you a member of:  

Name:______________________________________________________________________

Address:____________________________________________________________________

City: ____________________________________State:__________ Zip:_______________

Phone: (____)________________SS#:___________________________________________

Tournament Date & Lake:_____-_____-______---_________________________________

Are you a member of:  

IN SIGNING THIS ENTRY FORM, I hereby release all other contestants, tournament officials, host, and sponsors from any and all damages, claims, demands, expenses and liabilities relating to or resulting from this tournament, including personal injury and/or property damage. I further agree that I will not sue or make any claim against any individual or group involved with this tournament now or in the future concerning any damage or injury relating to this tournament. In the event C.A.B.A. or its officials are involved in a lawsuit resulting from my actions, intentional or accidental, I hereby agree to indemnity and hold C.A.B.A. and its officials and/or employees harmless from any liability whatsoever. This release will also serve as notice that my insurance carrier will not sue or make any claims against C.A.B.A., its officials and/or employees for any claims that may be paid on my behalf.

I HEREBY CERTIFY BY MY SIGNATURE on this form that I have read and understand the rules and regulations concerning this tournament. Any misunderstanding or untruthful statement made by me is my personal responsibility and I will hold C.A.B.A. and its officials and/or employees harmless.

Signature:  ___________________________________

Signature:  ___________________________________