Having read the Official FBFP2008 Mosquito Madness Rules and completed the below entry form, I/we agree to abide by all conditions and accept penalties determined by officials stated therein. By signing this agreement, I/we hereby release the State of Ohio, FBFP2008, Rory Franks and any officers, agents, officials, employees and sponsors thereof from any and all damages, claims, costs or expenses relating to injury or even death, of any persons or property 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 name. I/we have received a copy of said rules and understand our agreements as outlined above.
NAME:______________________________STREET:_______________________________CTY/ST/ZP:_____________________
NAME:______________________________STREET:_______________________________CTY/ST/ZP:_____________________
X____________________________________ DATE:_______ X____________________________________ DATE:_______
THIS ENTRY IS PAID AND POSTMARKED ACCORDING TO BELOW FOR MOSQUITO MADNESS 5/03&5/04-2008:
THIS ENTRY IS SENT WITH A $50 NONREFUNDABLE DEPOSIT FOR A WAIT LIST TEAM #- SEE RULE #3 - BALANCE OF $210 DUE @ PLACEMENT
*CONTACT PERSON AND CELL PHONE NUMBER*:_________________________________________________________
MAKE CHECKS OUT TO: FBFP2008 3079 SUMMIT RD. RAVENNA,OH 44266-9048 ~ OFFCIAL USE ONLY BELOW
**********FULL FIELD HAS BEEN MET AS OF 2/15/08 ~ THIS ENTRY IS FOR WAIT LIST CONSIDERATION ONLY***********************
