Application and Release Statement
Name________________________________________________________Telephone(____)___________
Address___________________________________________________________________________________
City_____________________________________________________State___________Zip________
Team Affiliation_________________________________________
SCUBA APPLICANTS MUST PROVIDE THE FOLLOWING INFORMATION
Certifying Agency and Number__________________________Years Experience_____
_____I will be attending the SAFETY MEETING on July 23, 2008.
_____I will be competing as a NOVICE
(certified less than one year).
Registration fee is $40.00. This
includes one T-shirt and
two
meal
tickets.
Registration is $45.00 if you register
after July 23rd, 2008.
SHIRT SIZE: Med.____ or Large_____ or X-Large____ or XX-Large _____
Total amount enclosed: $___________ Mail to address at top of letterhead.
Please enclose this form and mail with payment to the address
above.
Mailed registration must be received no later than
July 23, 2008 (Safety
Meeting). The Safety Meeting will be held at the Original Oyster
House
Restaurant in
Mobile Alabama located on Battleship Parkway. You may
also
register at any participating dive shop.
RELEASE STATEMENT
I,___________________________, in consideration of permission
granted
me to participate in the Alabama Open
Spearfishing Rodeo to be held on
July 25, 26,27, 2008 do hereby agree that I will not hold any official
connected
with said
tournament responsible for any accident or damage to me or my
property which may occur during said tournament.
Done this _____ day of _________________ 2008.
Signed___________________________ Witness________________________
________________________________________________
Signature of parent or guardian if under 18 yrs.