2019 NUCA of SWFL Annual Fishing Tournament Registration Form
OCTOBER 4TH & 5TH
‘TWEEN WATERS INN CAPTIVA ISLAND, FL
ALL ANGLERS, JR. ANGLERS, GUESTS, & CHILDREN MUST BE REGISTERED IN ADVANCE
Angler Registration / Shirt Size
List Names
(List Calcutta Information on Separate Registration Form
Jr. Angler Registration / Shirt Size
Must Be 14 Years Old or Younger
(Jr. Anglers Are Eligible For the Calcutta)
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________ ________________________________________
________________________________________
________________________________________
________________________________________
_______________________________________
Guest Registration / Shirt Size Child Registration / Age / Shirt Size
Charge $200.00 EachTotal Anglers: ______
List Names
(Other Than Anglers)
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
Charge $120.00 EachTotal Guests: _______
Total
Total
Total
Total
Total
Charge $50.00 Each
List Names
Total Jr. Anglers: ______
(Other Than Jr. Anglers)
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
Charge $25.00 Each
Total Children: ______
Anglers X $200 each = $__________
Jr. Anglers X $50 each =$__________
Guests X $120 each = $__________
Children X $25 each = $__________
Calcutta X $50 each = $__________ (Total from Calcutta Form)
Grand Total = $_________ Check # ________
Company: _______________________________________________________________
Contact: __________________________ Phone #:____________________
Single night registration for Friday, Oct. 4 th or Saturday, Oct. 5 th is available upon request for $75.00 per night. Registration form must be
received in advance to guarantee reservations by September 20, 2019. Please send completed form to Rhonda Cason at NUCASWFL@g mail.com
or 239-790-1369 (fax). If paying by check, please make payable to NUCA of SWFL and send to Rhonda Cason; P.O. Box 62207 Fort Mye rs, FL
33906. If any additional information is needed please contact Chris Stewart at 239-633-2553 or Rhonda Cason at 239-939-1952.
Thank you and we look forward to seeing you there!
PARTICIPANTS IN THE NUCA OF SWFL ANNUAL FISHING TOURNAMENT ENTER AT THEIR OWN RISK. OFFICIALS, COMMITTEE MEMBERS, ‘TWEEN WATERS INN
PERSONNEL, AND ALL PERSONS CONNECTED DIRECTLY OR INDIRECTLY WITH NUCA OF SWFL, SHALL BE EXEMPT FROM ANY LIABILITY FOR LOSS, DAMAGE, NEGLIGENCE,
HARM OR INJURY SUFFERED BY ANY PARTICIPANT, ENTRANT, SPORT FISHERMAN, THEIR COMPANIONS, BOAT CAPTAINS, AND CREW MEMBERS, VESSELS AND EQUIP-
MENT, WHICH MAY OCCUR DURING THIS TOURNAMENT.
NAME OF APPLICANT _____________________________________ SIGNATURE _________________________________________