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.
 (Check all that apply) 
Mississippi River - 4/21
Annual membership dues($35.00)
Wissota - 5/19
Annual membership dues ($35.00)
Bone - 6/30    
Balsam - 7/14  
Wapogasset 8/11    
       
Please fill in the information and mail
Make your check payable to Fishers Of Men and mail to:
Wayne Camper
Wisconsin FOM Tournament Director
107 Pinecrest
Balsam Lake, WI 54810