KSU FATHER'S DAY OPEN JUNE 20th 2010 ~ THIS EVENT WILL BE LIMITED TO THE FIRST 65 PAID TEAMS!

1. Having read,received and agreed to the Official KSU FATHERS DAY OPEN RULES ,completed the below entry form and paid the $85 per event, I/we agree to abide by all conditions stated therein.

2.  Liability Release: By signing this agreement, I/we hereby release Akron City Watershed, State of Ohio, FBFP 2010, KSU bass club, Rory Franks and any of it's officer’s, agents, employees and sponsors from any and all damages, claims, costs or expenses relating to injury or even death, of any persons, property, or character which we may sustain or cause by reason of our participation in or in connection with this tournament. I/we further authorize the use of any images or likeness of our person and names.

3. I/ We have read and understand our agreements as outlined in items 1 and 2.

NAME:_____________________________ ADDRESS:________________________________ CITY__________________

STATE/ZIP_____________ EMAIL_______________________________PHONE_______________________

NAME:_____________________________ ADDRESS:________________________________ CITY__________________

STATE/ZIP_____________ EMAIL_______________________________PHONE_______________________

X__________________________________         Date:_______

X__________________________________         Date:_______

INDICATE FEES PAID WITH THIS ENTRY BELOW:

ONE FATHER'S DAY OPEN TEAM ENTRY $85 ___   

"DOUBLE DRAW" KSU DONATION FOR BOAT POSITION $10 ____  (must accept second position drawn)

Entries paid the day of the event must be done in CASH ONLY and will incur a $20 late fee (TOTAL $105) .  All prepays MUST BE POSTMARKED NO LATER THAN 7 DAYS PRIOR TO SCHEDULED DATE OF EVENT. Prepays must pay in check or money order PLEASE DO NOT MAIL CASH! Bounced check fees are $50. Include this form filled out in entirety and mail to:

PRESIDENT KYLE ROTH  (make checks payable to KSU Bass Fishing Club)

1676 Eastlan Ct. APT. 276

Kent,OH 44240