Have a question? Call Lori | 813.967.5032
Contact Us | www.hookedonhope.org
 

 
Angler Name
I am a breast cancer survivor
Angler Team
Address
City
State
Zip
Phone
( ) -        ext.
Email *
Shirt Size
S M L XL XXL Male Female
* Ticket will be issued by email. Ticket MUST be presented at Check-in Saturday morning for entry to boat.

  Kick off Reception - Friday October 9, 2009
    Bringing Guest(s) $20.00 per non-angler
  Luau Award Ceremony - Saturday October 10, 2009
    Bringing Guest(s) $20.00 per non-angler

WAIVER AND RELEASE

THE HOOKED ON HOPE! WAIVER AND RELEASE MUST BE ACCEPTED BY PARTICIPANT
OR BY PARENT OR GUARDIAN FOR PARTICIPANTS UNDER 18

PHOTOGRAPHIC RELEASE AND WAIVER
I give my full permission to HOOKED ON HOPE!, its local affiliates and tournament (as defined below), their sponsors and corporate sponsors, their successors, licensees, and assigns the irrevocable right to use, for any purpose whatsoever and without compensation, any photographs, videotapes, audiotapes, or other recordings of me that are made during the course of this event (the "Event).
RELEASE OF CLAIMS
I understand that my consent to these provisions is given in consideration for being permitted to participate in this Event. I further understand that I may be removed from this competition if I do not follow all the rules of this Event. I am a voluntary participant in this Event, and in good physical condition. I KNOW THAT THIS EVENT IS A POTENTIALLY HAZARDOUS ACTIVITY AND I HEREBY VOLUNTARILY ASSUME FULL AND COMPLETE RESPONSIBILITY FOR, AND THE RISK OF, ANY INJURY OR ACCIDENT THAT MAY OCCUR DURING MY PARTICIPATION IN THIS EVENT OR WHILE ON THE PREMISES OF THIS EVENT. I, FOR MYSELF, MY NEXT OF KIN, MY MINOR CHILDREN THAT ATTEND THIS EVENT, MY HEIRS, ADMINISTRATORS, AND EXECUTORS, HEREBY RELEASE AND HOLD HARMLESS AND COVENANT NOT TO FILE SUIT AGAINST HOOKED ON HOPE!, THEIR AFFILIATES AND ANY AFFILIATED INDIVIDUALS, ANY EVENT SPONSORS AND THEIR AGENTS AND EMPLOYEES, AND ALL OTHER PERSONS OR ENTITIES ASSOCIATED WITH THIS EVENT (COLLECTIVELY, THE "RELEASEES") FOR ANY INJURY OR DAMAGES I MIGHT SUFFER IN CONNECTION WITH MY PARTICIPATION IN THIS EVENT OR WHILE ON THE PREMISES OF THIS EVENT. THIS RELEASE APPLIES TO ANY AND ALL LOSS, LIABILITY OR CLAIMS I MAY HAVE ARISING OUT OF MY PARTICIPATION IN THIS EVENT, INCLUDING BUT NOT LIMITED TO, PERSONAL INJURY OR DAMAGE SUFFERED BY ME OR OTHERS, WHETHER SUCH LOSSES, LIABILITIES, OR CLAIMS BE CAUSED BY FALLS, CONTACT WITH AND/OR THE ACTIONS OF OTHER PARTICIPANTS, CONTACT WITH FIXED OR NON-FIXED OBJECTS, CONTACT WITH ANIMALS, CONDITIONS OF THE PREMISES OF THE EVENT, NEGLIGENCE OF THE RELEASEES, RISKS NOT KNOWN TO ME OR NOT REASONABLY FORESEEABLE AT THIS TIME, OR OTHERWISE.
This Photographic Release and Waiver and Release of Claims (collectively, the "Release") shall be constructed under the laws of the state in which the Event is held.
I understand that I have given up substantial rights by signing this Release, and have signed it freely and voluntarily without any inducement, assurance of guarantee being made to me and intend my signature to be a complete and unconditional release of liability to the greatest extent allowed by law.

Sign the Waiver Electronically
Date the Waiver
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After you complete your registration, please return to the home page and click on the donate button.
   
 

 

Inshore Fishing Tournament to benefit USF Breast Health.
Snook . Redfish . Trout
October 8th and 9th, 2010

Dr. Charles E. Cox M.D.
Tournament Director | email
Lori Deaton:
813.967.5032
Tournament Information
Friday, October 8th, 2010
6:30 pm to 10:00 pm
Kick off Reception
Silent Auction
Dine with captains and anglers
Saturday, October 9th, 2010
Registration 8 am to 9 am
Fishing Tournament - 9 am to 3 pm
Luau Awards Ceremony - 4 pm to 6 pm
At the:
Holiday Inn SunSpree Resort
6800 Sunshine Skyway Lane
St. Petersburg FL 33711

1.800.227.8045
Entry Fee
$1500.00 Per Boat (team of 3 Anglers)
Individual entries- $500.00
(you will be paired with other individual anglers)
We Provide
Captain and Boat
Fishing Equipment
Anglers’ Kick Off Reception
Luau Awards Ceremony
All Meals
Silent Auction
Entertainment
Tournament shirt and visor
Awards and other goodies

2009 Sponsors
Ice Sports Forum
Florida's Mulch Express
Humana
Todd Couple's Superstore
Halo
Ladyfish Charters
Masonry Builders Inc.
Adventurous Womans Club
Angela Rasmussen DDS
WIlliam Karns Enterprises
Take2videoproductions.com
Post Net
Columbia Restaurant
Albear Plastic Surgery
www.hookedonhope.org | © copyright 2009
web site by: Paul Fisicaro, Fisics Designs