Far Out Shoot Out 2017 Entry Form

FAR OUT SHOOT OUT    -    MAY 6-20, 2017

OCEAN ISLE FISHING CENTER - OCEAN ISLE BEACH, NC

 

BOAT NAME:    ______________________________________________     BOAT LENGTH: __________

CAPTAIN'S NAME:    _____________________________________________

ADDRESS:    ________________________________________________________________

CITY:    _____________________________    STATE:    ___________    ZIP:    ___________

CELL PHONE:    __________________________   EMAIL ADDRESS:    _________________________________ (required)

S.S.#    ______________________________  (required)

 

DECLARE YOUR FISHING DAY HERE OR CALL (910) 253-3474 BEFORE 8AM ON THE DAY YOU WANT TO DECLARE

I CHOOSE TO COMPETE:

_____  SAT, MAY 6TH               _____ SUN, MAY 7TH               _____  MON, MAY 8TH

_____  TUES, MAY 9TH             _____ WEDS, MAY 10TH           _____  THURS, MAY 11TH

_____  FRI, MAY 12TH           _____  SAT, MAY 13TH          ______ SUN, May 14TH

 _____  MON, MAY 15TH             _____  TUES, MAY 16TH             _____ WEDS, MAY 17TH          

_____  THURS, MAY 18TH          _____  FRI, MAY 19TH           _____  SAT, MAY 20TH

WAIVER CONTRACT:
I understand that I as registrant/captain/boat owner, am responsible for my boat
and occupants at all times.  I have read and fully understand and agree to abide
by all rules of the 2017 Far Out Shoot Out.  I hereby release the Far Out Shoot Out, its sponsors, their principles, theirs subsidiaries, and their affiliates from any and all liability.  I further understand that the decision to fish and participate is the responsibility of the registrant/captain/boat owner.

SIGNATURE:    ____________________________________    DATE:    _________________

EARLY ENTRY:    $500 BY 5/5/17     __________                                
ENTRY:    $550 THRU 5/19/17        __________                
                                        
BIG FISH TWT (largest fish weighed of eligible species- Pays 1st-3rd):  $200  _________
                                                   HIGH ROLLER TWT (aggregate weight, 1 fish per eligible species- Pays 1st-3rd):  $500  _________

    

FILL OUT THE ENTRY FORM (Entry deadline 5/19/17), PRINT IT, INCLUDE PAYMENT AND MAIL TO TOURNAMENT HEADQUARTERS or DROP OFF AT THE OIFC
Make checks payable to:
FAR OUT SHOOT OUT- FOSO
P.O. Box 895
Shallotte, NC  28459 

                                   
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