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 Michigan East 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 Michigan East 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) 
Saginaw Bay (May 24)
Annual membership dues($35.00)
Kent Lake (June 14)
Annual membership dues ($35.00)
Cass Lake (July 26)    
Detroit River (August 16)  
Detroit River (Sept 6)    

Please fill in the information and mail
Make your check payable to Fishers Of Men and mail to:
John Carter
Michigan East FOM Tournament Director
7634 Hipp St
Taylor, MI 48180