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STONEY LAKE COMBO-
PRINT & MAIL REGISTRATION FORM 2008 ENTRY FORM: Complete both sides of this entry form. Entry must be accompanied by cheque for deposit ($60.00) with post dated check for balance ($100.00) dated no later that Aug. 31st, or complete payment ($160.00), balance or complete payment received with postmark after Sep. 1st lose saved position and require a $20.00 late fee to be paid with registration. MAKE PAYABLE & MAIL TO: Douro-Dummer Firefighters Association. Box 92, Warsaw, Ontario K0L 3A0 |
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| Angler 1 | Angler 2 |
| Name: ___________________________ | Name: _________________________ |
| Address: __________________________ | Address: _______________________ |
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Town: ____________________________ |
Town: __________________________ |
| Postal Code: _________________ | Postal Code: ______________ |
| Tel: _____________________________ | Tel: ______________________________ |
| Fax: ____________________________ | Fax: _____________________________ |
| Email: __________________________ |
Email: ____________________________ |
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TEAM # (for office use) |
TEAM # (for office use) |
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Waiver: I have read and
understood all the Tournament rules for the Stoney
Lake Combo. In signing this entry, I hereby
agree to hold the sponsors, sanctioning body, host
organizers and their employees and agents, all other
competitors and non-competitors, harmless from all
liability of any kind for injury or damages before,
during or due to the competition for which we are
registering. We also agree to allow Photographs,
Video and Names to be used in promotions or
advertising for promotion of this Tournament. I also
agree to uphold any last minute changes and
clarifications required and detailed during the
Orientation Meeting on the Friday evening. TEAM # (for office use) |
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Signature
______________________ Date ________________________ |
Signature
______________________ Date ________________________ |
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The
Stoney Lake Combo is organized
& run by: |
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