1. finance
2. bank
3. checks

OVER $7,000
IN TOTAL CASH
AND PRIZE PAYOUTS*
PRESENTING SPONSOR
FI
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ANNUAL
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ENTED
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SUPPORTING SPONSORS
C
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TOURNAMENT DIRECTED BY
Visit chs.hallco.org for more information.
or contact Delena Wilson at chimneykids@aol.com
A
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HIGH
LANIE
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OPEN TEAM BASS TOURNAMENT
BENEFITING STUDENT ATHLETE INITIATIVES
AT CHESTATEE HIGH SCHOOL
SATURDAY, MAY 9, 2015
LITTLE HALL PARK
(Safe Light Tournament Launch | 3:00 P.M. Weigh-In)
PAYOUTS
IN TOTAL CASH AND
PRIZE PAYOUTS
RS
Saturday, May 9, 2015 | Little Hall Park at Lake Lanier
(Safe Light Tournament Launch | 3:00 P.M. Weigh-In)
P
1 OUT OF EVERY 7 TEAMS PAID OUT!*
R
ES
ENTED
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(*Based on 50 boats)
OFFICIAL 2015 ENTRY FORM
NNUAL
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OVER $7,000
FI
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Big Bass:
1st-$300
2nd-$200
CHARITABLE PARTNER
A portion of tournament proceeds will benefit the
Chestatee Eagle Golf Club, Inc. Funding will be
directed to student athlete initiatives at
Chestatee High School.
T
S
Arrive Friday evening with dinner and overnight accommodations.
Saturday includes breakfast, boxed lunch, and dinner, plus a full day
guided fishing trip and overnight accomodations.
Sunday includes breakfast and boxed lunch, plus a half day AM fishing trip.
Guide gratuity included. Trip must be fulfilled in 2015 calendar year.
Some blackout dates may apply. Trip dates scheduled based on availability.
E
1st: Bienville Plantation
Weekend Trip for 2
and $500 cash
2nd: $1,500 cash
3rd: $900 cash
4th: $500 cash
5th: $300 cash
6th: $175 cash
7th: $125 cash
A
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LAN
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Mail completed, signed form to:
Chestatee Eagle Golf Club, Inc.
c /o Chestatee High School
3005 Sardis Road, Gainesville, GA 30506
$125 entry fee (per/two-man or solo team, includes Zhik Big Bass)
Amount Enclosed $:________________ Check #: __________________________________
(Make checks payable to Chestatee Eagle Golf Club, Inc.) Date: ___________________
•Date of entry determines starting position
•First 50 teams to register receive a goodie bag including Z-Man® baits and a ticket for
a free BBQ sandwich courtesy of Sherry’s Bait & Barbecue the morning of event
PLEASE PRINT CLEARLY
Angler 1 (Boater) Name: __________________________________________________________
Address:___________________________ _________________________________________ _____
City/State: _______________________________________________ Zip: ____________________
Cell Ph:_______________________________ Alt Ph: ____________________________________
Email: ___________________________________________________________________________
SS#:______________________________ DOB:___________/____________/ _________________
Signature of Angler 1: _____________________________________________________________
Angler 2 (Partner) Name: _________________________________________________________
Address:___________________________ _________________________________________ _____
City/State: _______________________________________________ Zip: ____________________
AMAZING RAFFLE
Immediately following the weigh in, thousands of dollars in outdoor gear, autographed
merchandise and products from Realtree™, Lowrance® and Zhik® performace apparell
and more will be up for grabs.
FREE BBQ, HOT DOGS AND BOTTLED WATER
While you wait for the raffle to start, enjoy complimentary food and beverages.
Also, first 50 teams to enter the tournament receive a food ticket for a free BBQ
sandwich at weigh in courtesy of Sherry’s Bait and Barbecue. All we ask is that
you make a donation of any amount to the school.
“GET KIDS FISHING” IKE FOUNDATION
Donate any old rods and reels to the Ike Foundation regardless of their condition.
All equipment will be given to kids and families in need of tackle to start fishing.
Cell Ph:_______________________________ Alt Ph: ____________________________________
Email: ___________________________________________________________________________
SS#:______________________________ DOB:___________/____________/ _________________
Signature of Angler 2: _____________________________________________________________
PARTICIPANT RELEASE OF LIABILITY (Please read before signing)
In consideration of being allowed to participate in any way in the Chestatee Eagle Golf Club Lanier Open fishing tournament for the year 2015 the above
signed, acknowledge, appreciate and agree that: 1. The risk of injury from the activities involved in tournament fishing is significant, including the risk of
permanent injury or death and while particular rules, equipment and personal discipline may reduce the risk, the risk of serious injury does exist, and 2. I
knowingly and freely assume all such risks, both known and unknown and assume full responsibility for my participation and 3. I agree to comply with the
terms and conditions of participation, and 4. I, for myself and on behalf of my heirs, personal representatives and next of kin, hereby release, indemnify and
hold harmless the Lanier Open fishing tournament, its officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors and
advertisers, and if applicable, owners and lesser of premises used too conduct the event (“Releases”) with respect to any and all injury, disability, death, or loss
or damage to person or property, whether from negligence or otherwise, to the fullest extent of the law.
I have read this release of liability and assumption of risk of agreement and the rules governing these events, fully understand their terms, understand that
I have given up substantial rights by signing it and sign it freely and voluntarily without any inducement. By signing this release, I am stating that my partner
and I both agree to these terms.
Visit chs.hallco.org for more information.