Oak Island Open Pier Tournament
registration formRegistration Form

 

Angler Name____________________________________________________________________
Mailing Address______________________City_______________State______Zip____________
Cell/Phone#____________________________Social Security Number______________________
Junior Angler Age (12 Years & Under)_______________________________
PREFERRED PIER CHOICES (PLEASE MARK AS 1ST AND 2ND CHOICES)
Ocean Crest____________Oak Island (Yaupon)________________
Entry Categories
Category 1—Spot, croaker, whiting, spade,  Atlantic pompano, pin
Category 2—Spanish, blue, gray trout, speckled trout, red drum, black drum, flounder, sheephead
Category 3—King mackerel, cobia, jack crevalle, amberjack, & tarpon

Amount Enclosed
Prior to May 22th—Early Entry                           May 30th—June 19th—Late Entry                     Active Military with ID_____Category 1—$25                                                   ____ $30                                                                                ____$15
_____Category 1 & 2—$40                                               _____$50                                                               ____$40
_____ Category 1, 2, & 3—$50***                                     _____$60                                                               ____$40
***(limited to first 100 entries postmarked May 22, 2009)
Make Checks Payable to: Oak Island Open Pier Tournament.
I  assume all risks and hazards incidental to participation including transportation to and from activities; and do hereby waive, release, absolve, indemnify and agree to hold harmless the Town of Oak Island, local league organization, the Oak Island Parks and Recreation department, sponsors, supervisors, officials, participants and all other persons involved in various capacities with the above activity for any claims, demands, or courses of action arising out of or by reason of the above activity for which I have registered.

I further state and affirm that I am aware of the fact that the aforementioned activity, even under the safest conditions possible, may be hazardous; that I assume the risk of any and all loss or damage to property and/or bodily injury, including death, however caused, resulting from, arising out of, or in any way connected with the aforementioned activity. I have read and understand the rules of this tournament and agree to abide by them.  I also agree that my name and image may be used by tournament designees for promotional purposes without further compensation.

Angler Signature__________________________________________date________________________________________

Return forms to : Oak Island Parks & Recreation Department
Attn. OKI Open
4601 E Oak Island Dr
Oak Island, NC 28465