TEAM NAME _____________________________
NAME___________________________________________ PHONE___________________________________
ADDRESS__________________________________________CITY___________________________STATE___
ZIP__________EMAIL__________________________________SIGNATURE____________________________
NAME___________________________________________ PHONE___________________________________
ADDRESS__________________________________________CITY___________________________STATE___
ZIP_________EMAIL___________________________________SIGNATURE____________________________
NAME___________________________________________PHONE___________________________________
ADDRESS__________________________________________CITY___________________________STATE___
ZIP________EMAIL____________________________________SIGNATURE____________________________
NAME___________________________________________PHONE___________________________________
ADDRESS__________________________________________CITY___________________________STATE___
ZIP_________EMAIL___________________________________SIGNATURE____________________________
MY SIGNATURE CONSTITUTES ACCEPTANCE OF OFFICIAL RULES BY MYSELF AND BY MEMBERS OF MY TEAM.
PARTICIPATION IN THIS TOURNAMENT WILL ACT AS A RELEASE OF PERMISSION TO USE YOUR IMAGE IN PROMOTIANAL MATERIAL FOR FUTURE EVENTS.
$25.00 DEPOSIT HOLDS YOU BOAT NUMBER
MAKE MONEY ORDERS PAYABLE TO
Mike Parr
P.O. Box 505
223 E. Wabash St. Hudson, In 46747
260-318-6568