2007 Tournament Registration Form
Participant 1
Member: Yes
  No    (add $35 annual membership dues)
Name: ______________________________________
Address: ______________________________________
City ___________________
State ___________________ Zip Code:  __________
Phone: ___________________
Email: ______________________________________
Team # ________________________
 

Participant 2
Member: Yes
  No    (add $35 annual membership dues)
Name: ______________________________________
Address: ______________________________________
City ___________________
State ___________________ Zip Code:  __________
Phone: ___________________
Email: ______________________________________
Team # ________________________
 
*MEMBERSHIP:  Annual membership fee of $35 per person is required to fish any event.  You must include $35 for each non-member to register for a tournament.

LIABILITY RELEASE.
I agree to the following terms and conditions:

  • I will assume all risk of injury and or death which may result from fishing in the Wisconsin Fishers of Men tournament series.
  • I will release all Fishers of Men Sponsors, Directors and employees from all liabilities from accident, injury or death that may have resulted in the  tournament series.
  • I will allow the tournament to use all pictures,  and names for the news media or advertising of the tournament without compensation to me.
 
I agree to these terms and conditions.

Member 1 (Signature)


_____________________________________

 
Social Security Number (needed for I9 form) ______________________________________
 
Member 2 (Signature)

______________________________________
 
Social Security Number (needed for I9 form) ______________________________________
 
All Wisconsin FOM Tournaments are $150 per two person team and require both participants are members of Fishers of Men--except FOM Opens do not require annual membership dues to particate.
 (Check all that apply) 
Wolf River
Winneconne (May 3)
Annual membership dues($35.00)
Big Green Lake (May 24)
Annual membership dues ($35.00)
Wolf River
Winneconne (June 21)		    
Buffalo Lake (July 12)  
Wolf River
Fremont (August 23)		    
Please fill in the information and mail.
Make your check payable to Fishers of Men and mail to:
Chris Jones
Wisconsin East FOM Tournament Director
701 Manchester Road
Neenah, WI 54956