PERSONAL INFORMATION
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| Name:_________________________________ |
| Address:_______________________________ |
| City, State, Zip: _________________________ |
| Home Phone:(_______) __________________ |
| Work Phone: (_______) __________________ |
| Cell Phone: (_______) ___________________ |
| Fax Number: (_______) __________________ |
| Email: ________________________________ |
| Year of Birth: __________________ |
| Shirt Size ____________________ (For reference only) |
| Business Name: ________________________ |
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PAYMENT INFORMATION
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| Payment: ___ Visa ___ MC ___ Discover ___ Check |
| Credit Card# ______________________ |
| Exp. Date: ________________ Billing Zip Code ___________ |
| Name on Card ______________________ |
| (please print) |
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Number of people in party:______________
Other Party Members Names:________________________________
________________________________________________________
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Seminar cost does not include hotel accommodations. If you plan on staying you are responsible for making arrangements. LLGF suggests our host hotel:
Breezy Palms
MM80, Islamorada, FL
305-664-2361
Room Rate $69-$149 per night!A great deal for this beautiful resort! Please mention "Ladies, Let's Go Fishing!" when reserving to receive this rate.
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SEMINAR REGISTRATION
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Weekend Seminar Registration includes: lunch, goody bag, class book, instruction, use of equipment and more!
_____$115 Early Registration Fee (until October 13, 2009)
_____$130 Regular Registration Fee (October 14 - November 6, 2009)
_____$145 Late Registration Fee (November 7-15, 2009 and Walk-Ins) |
| FISHING ADVENTURE INDIVIDUAL REGISTRATION (optional) |
Keys Fishing Rates:
(Rates are per person. Fishing times/ length of trip are subject to change. Coming alone? Don't worry, no need to fill the boat; we do it for you!)
$______ $45 - Fishing from Party/Drift Boat (9:30am - 1:30pm; gratuity is incl.) Fish for snapper, grouper and more!
$______ $265 - Inshore/ Flats Fishing (3/4-day trip, 7:30am - 1:30pm; gratuity not incl.; 2-3 persons/boat, usually 2) Fish for snapper, snook, bonefish, tarpon and more!
$______ $180 - Sportfishing Boat (3/4-day trip, 7am - 1pm; gratuity not incl.; 6 persons/boat) Fish for sailfish, kingfish, wahoo, dolphin and more!
Need help deciding which boat category? Just click here! Fishing Adventure prices subject to change based on increasing fuel prices.
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TOTAL AMOUNT ENCLOSED
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$ _____ Registration Fee (Date:___________________ ) |
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$ _____ Fishing Adventure Price |
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$ _____ Total Enclosed |
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| SPONSORSHIP/ DONATIONS |
___Yes, my company would like to be a SPONSOR/DONOR. Please contact me!
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I,__________________________ , participate in the organization known as "Ladies, Let's Go Fishing!", which engages in sport fishing and other recreational outings. For and in consideration of the reciprocal release of other participants of "Ladies, Let's Go Fishing!" to me and for other good and valuable consideration to me, including my right to participate in the activities of "Ladies, Let's Go Fishing!", I, the undersigned, for and on behalf of myself and my heirs, successors, and assigns, assume sole and exclusive liability and release "Ladies, Let's Go Fishing!" and its sponsors and participants ("Released Parties") from liability for any damage to my person or property that I may incur as a result of or in the course of any activities of "Ladies, Let's Go Fishing!".
It is specifically understood and agreed that this Liability Acknowledgement and Waiver Of Claims includes, but is not limited to, any and all claims, which I may have against the Released Parties, or any of them, whether such claims are based upon tort, contract, common law, and/or statutory law.
I agree not to institute or assist others in instituting any action against Released Parties for or because of any incident or event occurring prior to the date of this Liability Acknowledgement and Waiver Of Claims.
I declare that I have fully read the foregoing Liability Acknowledgement and Waiver Of Claims in its entirety and that I have been fully advised by my attorney or have had an opportunity to receive advice from an attorney, prior to executing this Liability Acknowledgement and Waiver Of Claims, and that I know and understand the contents hereof and have signed the same as my own free, intelligent, and voluntary act.
Signature:___________________________________________________
Print Name:__________________________________________________
Date:_______________________________________________________
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CANCELLATION POLICY FOR 2009:
No cash refunds will be made for seminar registration. Cancellations made by October 30 at 5pm EST, will be issued a class credit, in the amount paid, and valid for 24 months from the date of action. Cancellations made after October 30 will forfeit funds. We will accept a substitute in your place, with reasonable notice ahead of time. Fishing fees, minus a $10 credit card cancellation fee, may be refunded if a substitute is found for your space, by 5 pm on October 30, since cancellation will effect boat minimums and other anglers. Fishing fees must be paid in advance to hold space. Fishing reservations are on a first come, first serve basis. Availability is not guaranteed, unless you reserve all space on a boat. LLGF reserves the right to cancel & reschedule seminar if minimum attendance requirement is not met, whereas a class credit will be issued, in the amount paid, valid for 24 months, from date of cancellation. Class credit may also be issued in the form of a gift certicate. You will receive directions to the seminar, attire suggestions, confirmation of reservation & other tips by mail. Recommended age 21 and up, however 18 is the minimum age requirement for participation.
I have read and agree to the cancellation policy.
Signature ________________________________________________________
Date _______________________
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