Tournament Registration Form

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Format: (000) 000-0000.

E-mail*

example@example.com

Would you prefer a team name listed ?*

Team name

My Products

Tournament registration

100% of the registration proceeds go to charity

$55.00 Quantity

Optional longest flounder side pot

100% payout paid to 2 winners (60/40)

$20.00 Quantity

Optional longest redfish. side pot

100% payout tournament top 3 (60/40)

$50.00 Quantity

Total

$0.00

Participant Agreement, Release, and Acknowledgement of Risk: Upon signing this application, I hereby waive and release all other participants, hosts, sponsors, and tournament officials from any and all liability claims, demands, actions or rights of actions, which are related to, arise out of, or in any way connected with my participation in this tournament, for any and all claims of death, personal injury, accidents, theft and damage to myself, to others, and all equipment involved in this tournament. I voluntarily assume full and all responsibility for my health and safe being arising from my participation in this tournament. I assume full responsibility for all equipment on and off the water during this tournament. I have sufficient health, accident and liability insurance to cover any bodily injury or property damage incurred by myself or others as a result of my participation in this tournament. If I have no such insurance, I represent that I am capable of paying for any and all such expenses or liability. I have read and understand the rules of this tournament and I will obey all rules and understand that any violation may result in immediate disqualification without refund of my entry fee. I also understand that tournament officials may reject my application for any reason, and in that event will refund my entry fee. Matagorda Kayak Fishing and their assigns, have my permission to use my name, photographs, and film footage of me if it chooses to do so. My signature below reflects that I have read the entire document, understand it completely, understand it affects my legal rights and agree to be bound by its terms. References to “I,” “Me,” “Myself,” and other first person references shall include any child or ward to whom I sign. *

Payment Methods

Choose from one of the PayPal options to make your payment.