Far Out Shoot Out 2013 Entry Form

FAR OUT SHOOT OUT    -    MAY 10-18, 2013

OCEAN ISLE FISHING CENTER - OCEAN ISLE BEACH, NC

 

PRINT THIS PAGE AND FILL OUT
2013 Far Out Shoot Out ENTRY FORM

 

BOAT NAME:    _________________________________________     BOAT LENGTH: __________

CAPTAIN'S NAME:    _____________________________________

ADDRESS:    ________________________________________________________________

CITY:    _____________________________    STATE:    ___________    ZIP:    ___________

CELL PHONE:    __________________________   

S.S.#    ______________________________  (required)

EMAIL ADDRESS:    _________________________________ (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 11TH    

_____  SUN, MAY 12TH

_____  MON, MAY 13TH

_____  TUES, MAY 14TH

_____  WEDS, MAY 15TH    

_____  THURS, MAY 16TH

_____  FRI, MAY 17TH 

_____  SAT, MAY 18TH


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 2013 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:    $300 BY 5/10/13     __________                                
ENTRY:    $350 after                       __________                                                        
BIG FISH TWT (largest fish weighed of eligible species- Tuna, Dolphin, Wahoo):    $100  _________                 "HIGH ROLLER'S" TWT (based on overall points):    $250        __________         

FILL OUT THE ENTRY FORM (Entry deadline 5/17/13), PRINT IT, INCLUDE PAYMENT AND MAIL TO TOURNAMENT HEADQUARTERS
Make checks payable to:
FAR OUT SHOOT OUT- FOSO
P.O. Box 895
Shallotte, NC  28459

 

 

                                   
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