Please print this form and mail to the address
below along with your payment:
BOATER NUMBER ONE Name: _________________________________ Address:_______________________________ City: __________________________________ State:_________ Zip: ___________ Phone: __________________________________ Email: ___________________________________ Signature: _______________________________
BOATER NUMBER TWO Name:___________________________________ Address:_________________________________ City: ____________________________________ State:_________ Zip: ___________ Phone: __________________________________ Email: __________________________________ Signature:________________________________ Note:All mailed entries must be postmarked no later than midnight October 24, 2008. Otherwise, bring the completed entry form with you to the Tournament. Liability Release: By signing this Official Entry Form, I hereby release Seneca Rotary Club, Rotary International, Strickland Marine, Bountyland Enterprises there officers, sponsors, host, employees and anyone working in association with them from any damages, injuries or death that may occur as a results of competing in these events whether by negligence of the said parties or otherwise to the fullest extent of the law . I also submit to a polygraph upon any winnings or protest and fully submit to findings of polygraph as final. I certify I have read the rules and state that I have not failed a polygraph within the last 7 years.
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