El Dorado Walleye Tournament - April 26, 2015
Entry Fee KWA Member - $100.00 Non Member - $120.00 KWA OFFICIAL ENTRY FORM El DORADO LAKE WALLEYE TOURNAMENT BOAT#____________ TOURNAMENT DATE : APRIL 26th, 2015 Name:___________________________________ Name:___________________________________ Address:__________________________________ Address:__________________________________ City:________________State:_____Zip:________ City:________________State:_____Zip:________ Phone:______________SS#__________________ Phone:______________SS#__________________ I am aware that my participation in the tournament creates the risk of serious personal injury or death and could also lead to loss or damage to personal property. I expressly agree to assume all risk of injury and death and loss of personal property which may result from my participation in this tournament. In consideration for my being permitted to participate in this tournament, I HEREBY RELEASE AND DISCHARGE the tournament officers, directors, agents, sponsors and organizations from any and all liability from injury, damage or other loss sustained by me which may arise from my participation in the tournament. I also agree to submit to a Polygraph or Voice Analysis Stress Test if required. Having aquainted ourselves with the rules, we have completed this application and are enclosing our entry fee. Signature:_________________________________ Signature:_________________________________ Mail completed entry form and fee to: KWA, 1314 North Wilshire Drive Hutchinson, KS. 67501 (Registration may also be submitted at the premeeting the evening before each tournament) Entry Fee KWA Member - $100.00 Non Member - $120.00 KWA OFFICIAL ENTRY FORM WILSON LAKE WALLEYE TOURNAMENT BOAT#____________ TOURNAMENT DATE : MAY 3RD, 2015 Name:___________________________________ Name:___________________________________ Address:__________________________________ Address:__________________________________ City:________________State:_____Zip:________ City:________________State:_____Zip:________ Phone:______________SS#__________________ Phone:______________SS#__________________ I am aware that my participation in the tournament creates the risk of serious personal injury or death and could also lead to loss or damage to personal property. I expressly agree to assume all risk of injury and death and loss of personal property which may result from my participation in this tournament. In consideration for my being permitted to participate in this tournament, I HEREBY RELEASE AND DISCHARGE the tournament officers, directors, agents, sponsors and organizations from any and all liability from injury, damage or other loss sustained by me which may arise from my participation in the tournament. I also agree to submit to a Polygraph or Voice Analysis Stress Test if required. Having aquainted ourselves with the rules, we have completed this application and are enclosing our entry fee. Signature:_________________________________ Signature:_________________________________ Mail completed entry form and fee to: KWA, 1314 North Wilshire Drive Hutchinson, KS. 67501 (Registration may also be submitted at the premeeting the evening before each tournament) Entry Fee KWA Member - $100.00 Non Member - $120.00 KWA OFFICIAL ENTRY FORM GLEN ELDER WALLEYE TOURNAMENT BOAT#____________ TOURNAMENT DATE : JUNE 7TH, 2015 Name:___________________________________ Name:___________________________________ Address:__________________________________ Address:__________________________________ City:________________State:_____Zip:________ City:________________State:_____Zip:________ Phone:______________SS#__________________ Phone:______________SS#__________________ I am aware that my participation in the tournament creates the risk of serious personal injury or death and could also lead to loss or damage to personal property. I expressly agree to assume all risk of injury and death and loss of personal property which may result from my participation in this tournament. In consideration for my being permitted to participate in this tournament, I HEREBY RELEASE AND DISCHARGE the tournament officers, directors, agents, sponsors and organizations from any and all liability from injury, damage or other loss sustained by me which may arise from my participation in the tournament. I also agree to submit to a Polygraph or Voice Analysis Stress Test if required. Having aquainted ourselves with the rules, we have completed this application and are enclosing our entry fee. Signature:_________________________________ Signature:_________________________________ Mail completed entry form and fee to: KWA, 1314 North Wilshire Drive Hutchinson, KS. 67501 (Registration may also be submitted at the premeeting the evening before each tournament) Entry Fee KWA Member - $100.00 Non Member - $120.00 KWA OFFICIAL ENTRY FORM MELVERN LAKE WALLEYE TOURNAMENT BOAT#____________ TOURNAMENT DATE : JUNE 14TH, 2015 Name:___________________________________ Name:___________________________________ Address:__________________________________ Address:__________________________________ City:________________State:_____Zip:________ City:________________State:_____Zip:________ Phone:______________SS#__________________ Phone:______________SS#__________________ I am aware that my participation in the tournament creates the risk of serious personal injury or death and could also lead to loss or damage to personal property. I expressly agree to assume all risk of injury and death and loss of personal property which may result from my participation in this tournament. In consideration for my being permitted to participate in this tournament, I HEREBY RELEASE AND DISCHARGE the tournament officers, directors, agents, sponsors and organizations from any and all liability from injury, damage or other loss sustained by me which may arise from my participation in the tournament. I also agree to submit to a Polygraph or Voice Analysis Stress Test if required. Having aquainted ourselves with the rules, we have completed this application and are enclosing our entry fee. Signature:_________________________________ Signature:_________________________________ Mail completed entry form and fee to: KWA, 1314 North Wilshire Drive Hutchinson, KS. 67501 (Registration may also be submitted at the premeeting the evening before each tournament) Entry Fee KWA Member - $200.00 Non Member - $240.00 KWA OFFICIAL ENTRY FORM MARION LAKE WALLEYE TOURNAMENT BOAT#____________ TOURNAMENT DATE : JUNE 27-28, 2015 Name:___________________________________ Name:___________________________________ Address:__________________________________ Address:__________________________________ City:________________State:_____Zip:________ City:________________State:_____Zip:________ Phone:______________SS#__________________ Phone:______________SS#__________________ I am aware that my participation in the tournament creates the risk of serious personal injury or death and could also lead to loss or damage to personal property. I expressly agree to assume all risk of injury and death and loss of personal property which may result from my participation in this tournament. In consideration for my being permitted to participate in this tournament, I HEREBY RELEASE AND DISCHARGE the tournament officers, directors, agents, sponsors and organizations from any and all liability from injury, damage or other loss sustained by me which may arise from my participation in the tournament. I also agree to submit to a Polygraph or Voice Analysis Stress Test if required. Having aquainted ourselves with the rules, we have completed this application and are enclosing our entry fee. Signature:_________________________________ Signature:_________________________________ Mail completed entry form and fee to: KWA, 1314 North Wilshire Drive Hutchinson, KS. 67501 (Registration may also be submitted at the premeeting the evening before each tournament)
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