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I/We release the Tournament Committee, Vermilion County Conservation District and all the tournament sponsors from any and all liability for personal injury or death or any/all property damage which I/we may suffer as a result of participation in this event.
NO ALCOHOL PERMITTED DURING TOURNAMENT
Please print except for signature
Captain_______________________Signature_____________________Phone______________
Address__________________________________City___________________ZIP____________
EMAIL________________________________________________________________________
Partner________________________Signature____________________Phone______________
Address__________________________________City___________________ZIP____________
EMAIL________________________________________________________________________
Substitute______________________Signature______________________Phone_____________
EMAIL________________________________________________________________________
Make Checks out to: Tilton Bass Casters
Mail entries to: Dave Phillips, 1001 Tilton Road, Tilton, IL 61833