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Angler #1

Name *

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Last

Address *

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Line 2

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Cell Phone *

Email *

Date of Birth *

Angler #2

Name *

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Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Cell Phone *

Email *

Date of Birth *

Angler #3 (optional)

Name *

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Last

Address *

Line 1

Line 2

City

State

Zip Code

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Phone Number *

Cell Phone *

Email *

Date of Birth *

Angler #4 (optional)

Name *

First

Last

Address *

Line 1

Line 2

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State

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Phone Number *

Cell Phone *

Email *

Date of Birth *

Tournaments *

We agree that photographs or video taken of us during the event may be used for commercial purposes by tournament organizers, sponsors, and news media without royalties or prior consent, unless specified in writing prior to event.

Photo & Video Release *

I agree

In checking the box in acceptance of this agreement, I hereby release the Angling Challenge, its officers and employees, its sponsors and their agents (hereinafter referred to as AC, et al) from any and all damages, claims, demands, costs or expenses relating to injuries, death, damage, theft, fire or any loss of any person or any property which I may sustain and/or which I may cause by reason or participating in or in connection with this tournament. I further release AC, et al, for all damages relating to adverse weather conditions while participating in this tournament. It is my responsibility to seek safety should adverse weather conditions occur (prior to, during or after the tournament). I signify by checking the acceptance box that I have read the rules and I understand and agree that I must have the required liability insurance and agree to the above 2015 Tournament Rules.

Liability Release *

I Agree

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