2008 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.
 (Check all that apply) 
La Crosse
Pools 7 & 8 (April 26)
Annual membership dues($35.00)
Alma
Pools 4 & 5 (May 17)
Annual membership dues ($35.00)
Trempealeau
Pools 6 & 7 (June 28)
   
Genoa
Pools 8 & 9 (July 26)
 
La Crosse
Pools 7 & 8 (August 23)
   
       
       

Please fill in the information and mail.
Make your check payable to Fishers of Men and mail to:
Mike Inglett
Fishers of Men
542 W Hamilton St
West Salem WI 54669