41st Annual
Alabama Open Spearfishing Rodeo
August 11-13 2017

P.O. Box 1393
Mobile, AL 36633

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 competing as a NOVICE (certified less than 3 years)               

_____ JACKPOT $25.00 per    Flounder _____ Snapper_____          
Registration fee is $70.00. This includes one T-shirt

Additional T-shirts may be purchased for $15.00.

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
(Safety Meeting).  The Safety Meeting will be held at Original Oyster House 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 Aug 11-13, 2017, 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 _________________ 2017.
 

Signed___________________________    Witness________________________

________________________________________________
Signature of parent or guardian if under 18 yrs.