MAHI & WAHOO REGISTRATION & LIABILITY FORM

REGISTRATION & LIABILITY FORM
Name of Captain

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
There is a $250 Entry Fee per vessel. No Refunds or Discounts for any of the Derby days not fished. A 3% merchant fee will be assessed for any Credit Card transactions.
Which of the following applies:
Powerboats: This fee includes up to 2 anglers, 2 tournament tees, 2 Banquet tickets. $50 Additional per Angler/Crew.

Kayak & Jet-Ski: This fee includes 1 person, 1 tournament tee, 2 banquet tickets.

REGISTRATION OPENS January 15, 2025! Early registration is encouraged. One of your team representatives must register and pay all fees for the tournament in person or online no later than March 14, 2025.

The event is a ONE DAY TOURNAMENT; it will not be cancelled unless we have extreme weather and the safety of all participants is at risk. Shut up & Fish Guam reserves the right to cancel the tournament in the event of severe conditions. A makeup date will be determined if necessary. SAFETY FIRST!!!!!

The tournament reserves the right to refuse entry to any person or team.

PLEASE NOTE: It is expressly understood that all participants in the tournament enter at their own risk. By registering as an angler, crew, passenger or observer in this tournament, the angler, crew, passenger or observer holds harmless Shut up & Fish Guam, referees, sponsors, donors, and all persons connected with the tournament from any libel, slander, loss, damage, negligence, harm, injury or death suffered by any participant, entrant, sport fisherman or passenger, their companions, crew, family members, observers, vessels and equipment which may occur during
or in conjunction with the tournament. By registering in the tournament, the angler consents to the use, without payment or restriction, of any photograph or video in which he or she appears for any purpose whatsoever.
By signing below, you as Team Captain assert that you will be the captain of your vessel for this tournament and have read and fully agreed to the rules and regulations of this tournament.
Date*

MonthDayYear
Date
T-SHIRT SIZE (CAPTAIN & ONE CREW)*

SMALLMEDIUMLARGEX-LARGEXXL
1. We the undersigned acknowledge that we have read, understand and agree to all the rules and will abide by the rules.
2. We further acknowledge and accept the inherent dangers and risks involved in deep-sea fishing as to our property and us.
3. We hereby, for ourselves, our heirs, estates, personal representatives and assignees, release, discharge and indemnify Shut Up & Fish Guam, and its employees and agents, from any claims, actions, demands, injuries, property damage, or other liabilities in connection with any aspect of this tournament.
4. We understand that all person(s) on board must sign this waiver form and be approved prior to start fishing or the boat will be disqualified and ineligible for tournament prizes.
Signature of Captain *

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Crew Name
Crew Name
Crew Name
Crew Name
Crew Name
All persons on Boat are adults?
There are Minor(s) under the age of 18 on board?
As the parent/guardian of said minor child, First Name Last Name I hereby release/discharge all claims or actions against Shut Up & Fish Guam as indicated above. I have given permission for this minor child to participate and accept full responsibility for my decision.

Signature Date
FLOAT PLAN

Description of Boat:
Boat Name:*
Manufacturer:*
Make: *
Length:*
GU Number: *
Engine Type & Horsepower: *
Color of Hull: *
Cabin, Other Distinguishing Features: *
Electronics/Safety Equipment*

VHF RadioGPSDepth FinderRadarEPIRBSSB RadioDye MarkerLife RaftDinghyLife JacketsFire ExtinguisherFirst Aid KitFlaresFlashlight/Strobe LightSound Producing Device (Horn/Whistle)Anchor & LineSea Anchor/Sea DrogueFresh WaterFoodCellphone & Number
Boat Operator:*
Age:
Phone:*
Sex:
No. of Yrs boat operating experience: *
Which Marina will you launch from? *
Emergency Contact: (Name, Phone Number & Relationship)*

Payment

Entry Fee1 Day of Fishing, 2 Banquet Tickets, 2 Tournament Shirts

$250.00 Quantity
Item subtotal:$0.00

Enter coupon

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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REGISTRATION & LIABILITY FORM

FLOAT PLAN