Application and Release Statement
SCUBA APPLICANTS MUST PROVIDE THE FOLLOWING INFORMATION
Certifying Agency and
_____ I will be competing as a NOVICE (certified less than 3 years)
_____ JACKPOT $25.00 per Flounder _____ Snapper_____
Registration fee is $75.00. This includes one T-shirt - Additional T-shirts may be purchased for $15.00.
SHIRT SIZE: Med____ or Large_____ or X-Large____ or XX-Large _____ ADD_____________
Total amount enclosed: $___________ Mail to address at top of letterhead.
Please enclose this form and mail with payment to the
address above. Mailed registration must be
received no later than (Safety Meeting). You may also register at any participating dive shop.
I,___________________________, in consideration of
permission granted me to participate in the Alabama Open
Spearfishing Rodeo to be held on Aug 9-11, 2019, do hereby agree that I will not hold any official connected with
said tournament responsible for any accident or damage to me or my property which may occur during said tournament.
Done this _____ day of _________________ 2019.
Signature of parent or guardian if under 18 yrs.