Treasure Coast Golf Course Superintendents Association

6th Annual Saltwater Fishing Shoot-Out

Official Registration Form

Captain’s Name: ______Shirt Size______

Angler 1: ______Shirt Size______

Angler 2: ______Shirt Size______

Angler 3: ______Shirt Size______

Angler 4: ______Shirt Size______

Additional # attending lunch only ______

(bringing your family encouraged, A/C venue pool available, lunch & open bar)

**no additional lunch charge thanks to Detailed Sports Turf**

Contact Person Name: ______

Address: ______

City/State/Zip: ______

Phone Number: ______

Email ______

Boat Name: ______

Registration Fee per boat (Due by September 29nd):______$150.00

Registrations will be accepted after due date, however gifts and shirts are not guaranteed.

Entry Fee of $150.00 must be made payable to the TCGCSA and this completed entry form must be sent to:

Chris Gast

4283 SE Cocoplum Place

Stuart, FL 34997

Liability Form:

I (captains name)______, hereby enter into the Treasure Coast GCSA fishing tournament events, fully releasing the Treasure Coast Golf Course Superintendents Association, its officers, directors, employees and chapters from any liability that I, or any person, including children, who accompany me on this tournament, may incur due to the negligence of any participant in the fishing tournament. I understand that there are risks associated with fishing tournaments and agree to assume all such risks. I agree that I shall not hold the Treasure Coast Golf Course Superintendents Association liable for any injuries that I or anyone in my charge may incur on this fishing tournament. I have read this release carefully and fully and understand its importance, both for myself and anyone in charge, whom I accompany on this fishing tournament.

Captain______

SIGNATURE DATE