2015 NUCA of SWFL Annual Fishing Tournament
SEPTEMBER 18 & 19
CAPTIVA ISLAND, FL
TWEEN WATERS INN
Tournament Registration Form
ALL ANGLERS, JR. ANGLERS, GUESTS, & CHILDREN MUST BE REGISTERED IN ADVANCE
Angler Registration
List Names
(List Calcutta Information on Seperate Registration Form)
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
Charge $180.00 Each
Total Anglers: ______
Jr. Angler Registration
Must Be 14 Years Old or Younger
(Jr. Anglers Are Eligible For the Calcutta)
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
Prizes for: Jr. Angler Most Fish, Jr. Angler Heaviest Fish
Charge $30.00 Each
Total Jr. Anglers: ______
Guest Registration
List Names
(Other Than Anglers)
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
Charge $105.00 Each
Total Guests: ______
Child Registration
Children 16 and Under Are Free, However, Each Child Must Be
Listed With Their Age Below and Must Be Registered in Advance.
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
Total Children: ______
Total Anglers X $180 each = $__________
Total Jr. Anglers X $30 each = $__________
Total Guests X $105 each = $__________
Total Calcutta X $50 each
= $__________
(Total From Caclcutta Form)
Grand Total = $___________ Check # ______
Company:
Contact:
Phone #:
Fax #:
__________________
__________________
__________________
__________________
Registration form must be received in advance to guarantee reservations by September 15, 2014. Please send completed form to
Rhonda Cason at [email protected] or 239-790-1369 (fax). If paying by check, please make payable to NUCA of SWFL and
send to Rhonda Cason; P.O. Box 62207 Fort Myers, FL 33906. If any additional information is needed please contact Bob Russell at
239-574-4174 or Rhonda Cason at 239-939-1952. Thank you and look forward to seeing you there!
PARTICIPANTS IN THE NUCA OF SWFL ANNUAL FISHING TOURNAMENT ENTER AT THEIR OWN RISK. OFFICALS, COMMITTEE MEMBERS, ‘TWEEN WATERS INN
PERSONNEL, AND ALL PERSONS CONNECTED DIRECTLY OR INDIRECTLY WITH NUCA OF SWFL, SHALL BE EXEMPT FROM ANY LIABILITY FOR LOSS, DAMAGE,
NEGLIGENCE, HARM OR INJURY SUFFERED BY ANY PARTICIPANT, ENTRANT, SPORT FISHERMAN, THEIR COMPANIONS, BOAT CAPTAINS, AND CREW MEMBERS,
VESSELS AND EQUIPMENT, WHICH MAY OCCUR DURING THIS TOURNAMENT.
NAME OF APPLICANT ___________________________ SIGNATURE _______________________________