2010 Anglers Quest

Indicate which tournament(s) you wish to enter.

                       Individual Series

____: Houston=$155 per entry/with cc $165 per entry

____: Livingston=$155 per entry/with cc $165 per entry

____: Rayburn=$155.00 per entry/with cc $165 per entry

____: Conroe=$155 per entry/with cc $165 per entry

                 Saturday Series Team

____: Houston=$155 per team/with cc $165 per team

____: Livingston=$155 per team/with cc $165 per team

____: Rayburn=$155 per team/with cc $165 per team

____: Conroe=$155 per team/with cc $165 per team

           Tuesday-Wednesday Series

____: Tuesdays=$90 per team/with cc $100 per tteam

____: Wednesdays=$85 per team/with cc $95 per team

               T-MATCH Series 

____: Entry Fee= $500.00 per team

Tournament Date(s):

1) ___________________ 

2) ___________________ 

3) ___________________ 

4) ___________________ 

5) ___________________ 

 

                                     
Partner #1:

Name: ____________________________________________________

Address: __________________________________________________

City: _____________________________________________________

State: ____________________________________________________

Zip: ______________________________________________________

Phone: ___________________________________________________

SSN#: ____________________________________________________

E-Mail: ____________________________________________________

Partner #2:

Name: ____________________________________________________

Address: __________________________________________________

City: _____________________________________________________

State: ____________________________________________________

Zip: ______________________________________________________

Phone: ___________________________________________________

SSN#: ____________________________________________________

E-Mail: ___________________________________________________

Boat Information:

Boat Mfg: _________________________________________________

Boat Length: _______________________________________________

Engine HP: _________________________________________________

Model: ____________________________________________________

Payment Information:
Additional $10.00 handling fee for credit card charges

Method of Payment: __________________________________________

____: Check  ___: Credit Card on file  ____: Call Office

 
RELEASE & WAIVER


In return for being allowed to participate in this contest, I expressly release and agree to hold harmless the sponsors, officers, employees, agents and affiliates from any and all claims as result of personal injury, property damages, accidents or illnesses (including claims caused in whole or in part by the negligence of the sponsor) that I may suffer which may arise during the course of or in connection with this Tournament. I further expressly assume the risk of any personal injury, property damages, or any other damages of any nature, which I may sustain in connection with my participation in this contest. I also release to A/Q the use and reproduction of any and all photographs and pictures taken during this event. I have read and understand the rules regulating this tournament. I also understand that cheating in this tournament is a punishable felony under current State statutes. Sponsors are defined as Anglers Quest, and any others supporting this event. 

Signature 1: _________________________________________________________________
Signature 2: _________________________________________________________________

 

Please Print this Entry Form and either:
Mail Entries & Checks to:
ANGLERS QUEST
18923 Keyturn Ln
Humble,Tx 77346
PH. 281-852-8842
OR FAX 281-852-8662