45th Annual
Alabama Open Spearfishing Rodeo
August 13-15, 2021

7466 Oak Dr

Foley AL 36535

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 2 years)  
_____ JACKPOT $25.00 per    Flounder _____ Snapper_____          
Registration fee is $75.00. 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 _____  ADD_____________

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). 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 13-15, 2020, 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 _________________ 2021.

Signed___________________________    Witness________________________

________________________________________________
Signature of parent or guardian if under 18 yrs.