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HIGHLAND MARINA RESORT SUMMER SLAM TOURNAMENT ENTRY FORM ENTRY FEE: $60.00 PER TEAM (INCLUDES BIG FISH POT)
PLEASE USE YOUR BROWSER'S PRINT FEATURE TO PRINT OUT THIS FORM COMPLETE IT AND SEND YOUR ENTRY FEE AND FORM TO: HIGHLAND MARINA * 1000 SEMINOLE ROAD * LaGRANGE, GA 30240 |
| TOURNAMENT RULES POSTED ON HIGHLAND MARINA RESORT'S PRINTED REGISTRATION FORM, ON OUR RULES WEB PAGE AT www.highlandmarina.com/summerslamrules.htm OR BY REQUESTING A FAXED TOURNAMENT RULES PAGE FROM HIGHLAND MARINA AT (706) 882-3437 |
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BOATER INFORMATION |
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NAME: ________________________________________________________________________________________________ ADDRESS: ________________________________________________________________________________________________ CITY: _________________________________________ STATE: ___________________ ZIP: _______________________ SSN: _____________________________________ PHONE: ___________________________________________________ SIGNATURE: ______________________________________________________________________________________________ |
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PARTNER INFORMATION |
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NAME: ________________________________________________________________________________________________ ADDRESS: ________________________________________________________________________________________________ CITY: _________________________________________ STATE: ___________________ ZIP: _______________________ SSN: _____________________________________ PHONE: ___________________________________________________ SIGNATURE: ______________________________________________________________________________________________ |
| PARTICIPANT AGREEMENT & RELEASE: Our signatures release all sponsors, officials, organizations, or individuals from any and all liability in any form for any occurrence whatsoever resulting from my participation in this event. I agree to submit to a polygraph examination if requested by tournament officials. I understand that the result of this polygraph examination is final. I further agree to abide by the rules of this tournament without exception. I have read the rules and understand each of them. Highland Marina reserves the right to refuse entry or participation in this and any other Highland Marina Resort sponsored tournaments for any reason and at any time. |
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PLEASE USE YOUR PRINT OPTION TO PRINT THIS FORM AND MAIL IT BACK TO THE ADDRESS ABOVE WITH YOUR REGISTRATION FEE. BOAT NUMBERS ARE ASSIGNED WHEN PAYMENT IS RECEIVED. THE INFORMATION BELOW WILL BE FILLED OUT BY HIGHLAND MARINA PERSONNEL TO RECORD RECEIPT DATE AND BOAT NUMBER. |
| DATE RECIVED: ____________________ BOAT NUMBER: ________________ |
Call us today for more information or to make a reservation
(706) 882-3437
For Reservations and Information : reservations@highlandmarina.com Highland Marina Resort
1000 Seminole Road •
LaGrange, Georgia • 30240
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