This must be filled out & printed for every contestant and must be brought with you when you register or you can mail it in...
Print Name:____________________________________________________________________ Date: ___________________________
Who paid:__________________________________________________________ How: Pay Pal Check Cash
Division Fishing In: ( circle one please ) ADULT KIDS 12 and under Teen
If you would like to mail this form to us and receive your registration bracelet with a number on it in the mail, or to pay by check, fill out the following information...You will be able to go straight to the gate to get on the ice without going to registration tent on the day of the tournament..YOU WILL BE RESPONSIBLE FOR THE BRACELET!!!!!!!
Check #__________________ ( $30.00 check return fee if it does not clear )
Release of liabilty
In consideration for my being permitted to participate in the activities of Ice Fishing Colorado llc, I agree to the following Waiver and release…
I acknowledge that fishing has inherit risk, hazards, and dangers for anyone that cannot be eliminated, particularly in a wilderness environment…. I UNDERSTAND THAT THESE RISK, HAZARDS, AND DANGERS INCLUDE WITHOUT LIMITATION
1) Hiking in rugged country 3) Temperature extremes
2) Encounters with wildlife 4) Walking on ice
I understand the risk, hazards, and dangers of ice fishing and have had time to discuss the dangers with ICE FISHING COLORADO LLC. I understand that these activities may require good physical condition and a degree of skill to walk on ice…I believe that I have the physical condition and the degree of skill necessary for me to engage in this tournament safely…My participation in this activity is purely voluntary……. No one is forcing me to participate and I elect to participate despite the risk….
I AM VOLUNTARLIY USING THE SERVICES OF ICE FISHING COLORADO LLC WITH FULL KNOWLEDGE OF THE INHERENT RISKS, HAZARDS, AND DANGERS INVOLVED AND HEREBY ASSUME AND ACCEPT ANY AND ALL RISK OF INJURY, PARALYSIS, OR DEATH…
Lastly, I, for myself, my heirs, successors, executors, and subrogates, hereby KNOWINGLY AND INTENTIONALLY WAIVE AND RELEASE, INDEMNIFY AND HOLD HARMLESS ICE FISHING COLORADO LLC, THE TOWN OF GEORGETOWN , THE STATE OF COLORADO AND THEIR DIRECTORS, OFFICERS, AGENTS, EMPLOYEES and all volunteers from and against any and all claims, actions, causes, liabilities, suits, expenses,( including reasonable attorney fees ) which are related to, arise out of, or are in any way connected with my participation in this tournament including, but not limited to, NEGLIGENCE of any kind or nature, whether foreseen or unforeseen, arising directly or indirectly out of any damage, loss, injury, or death to me or my property as a result of my engaging in these activities or the use of these services, animals or equipment, whether such damage, loss, injury, paralysis, or death results from negligence of ICE FISHING COLORADO LLC or from some other cause…I, for myself, my heirs, my successors, executors, and subrogees, further agree not to sue ICE FISHING COLORADO LLC, THE TOWN OF GEORGETOWN and The State of Colorado as a result of any injury, paralysis, or death suffered in connection with my use and participation in the activities of ICE FISHING COLORADO LLC…
I HAVE CAREFULLY READ, CLEARLY UNDERSTAND, AND VOLUNTARLY SIGN THIS WAIVER AND RELEASE AGREEMENT…
Parent Signature/Guardian Signature:________________________________________________Date:_____________________
For pre-registration and to get your registration bracelet in the mail, please send this form before February 1st, 2017, to :
200 Washington Ave #1
Golden, Colorado, 80403