Blackman Memorial Halibut Derby Entry Form

Blackman Memorial Halibut Derby

August 9, 2025
OFFICIAL ENTRY APPLICATION
GENERAL INFORMATION
All information requested below must be supplied for this Application to be considered. There is no limit on the number of anglers per team. All anglers must be registered prior to fishing. All anglers and teams agree to obtain, review, understand, and comply with the Official Tournament Rules which are incorporated in this Entry Application as if fully set forth. See the Official Tournament Rules for the Tournament Schedule, General Tournament Information, Entry Levels, Fees, Awards, and the Official Tournament Rules.

In exchange for permission to participate in the Tournament, and participating in the Tournament, Participant does hereby fully release and discharge The Marlin Club and its directors, officers, members, agents, employees, tournament chair/director/personnel, and sponsors and those whose facilities or equipment are being used for this Tournament (collectively, the Released Parties) from any and all liability, claims and causes of action from injuries or illness, including death, damages or loss which they, on behalf of themselves, may have or which may accrue to them on account of participation in all activities associated with participation in the Tournament. This is a complete and irrevocable release and waiver of liability. Specifically, and without limitation, Participant hereby releases the Released Parties from any liability, claim, or cause of action arising out of the Released Parties' own negligence, sole negligence, contributory negligence, or gross negligence.
TEAM & VESSEL INFORMATION
Team Name
Vessel Name
Vessel Length
Vessel Make/Model
Vessel Year
Home Port
CAPTAIN INFORMATION
Captains Name
Address

Mailing Address

Street Address Line 2

City State ZipState / Province

Postal / Zip Code
Captain's Phone
Email
example@example.com
ANGLER #1
Name
Address

Mailing Address

Street Address Line 2

City State ZipState / Province

Postal / Zip Code
Phone
Email
example@example.com
ANGLER #2
Name
Address

Mailing Address

Street Address Line 2

City State ZipState / Province

Postal / Zip Code
Phone
Email
example@example.com
ANGLER #3
Name
Address

Mailing Address

Street Address Line 2

City State ZipState / Province

Postal / Zip Code
Phone
Email
example@example.com
ANGLER #4
Name
Address

Mailing Address

Street Address Line 2

City State ZipState / Province

Postal / Zip Code
Phone
Email
example@example.com
ANGLER #5
Name
Address

Mailing Address

Street Address Line 2

City State ZipState / Province

Postal / Zip Code
Phone
Email
example@example.com
ANGLER #6
Name
Address

Mailing Address

Street Address Line 2

City State ZipState / Province

Postal / Zip Code
Phone
Email
example@example.com
TEAM CONTACT
Tournament instructions, updates, changes, modifications, confirmations, refunds, correspondence, and Team monetary prizes or awards are sent to the Team Contact only. All official tournament communications will first be sent by email and thereafter additional contact attempts may be made by phone or text message.
Contact Name
Address

Mailing Address

Street Address Line 2

City State ZipState / Province

Postal / Zip Code
Phone
Email
example@example.com
PAYMENT INFORMATION & DUE DATES
To be entered in the Tournament, the base entry fee amount must be received by The Marlin Club prior to final registration deadline. The Team Contact will be notified in person, by phone, or by email of entry confirmation and Team Number. Teams/Participants can enter Optional Jackpots at any time up to the close of Registration. When making additional payments, Teams must include on the form of payment the boat/Team name and entry number.

The only form of payment accepted is cash, check, or credit card. Make checks payable to: The Marlin Club.

• Last day to withdraw and receive full refund – AUGUST 1st, 2025 at 5:00 pm.
• AUGUST 7th Captain’s Meeting starts at 6:00 pm, The Marlin Club, 2445 Shelter Island Drive, San Diego, CA.
• Tournament Fishing takes place on AUGUST 9th, 2025.
• Awards Celebration takes place on AUGUST 9th, 2025 at 5:00 pm.
ENTRY FEES & JACKPOTS