2022 NUCA of Southwest Florida Fishing Tournament Registration Form
ALL ANGLERS , JR . ANGLERS , GUESTS , & CHILDREN MUST BE REGISTERED IN ADVANCE
Angler Registration / Shirt Size
List Names
Jr . Angler Registration / Shirt Size
Must Be 14 Years Old or Younger
( List Calcutta Information on Separate Registration Form ( Jr . Anglers Are Eligible For the Calcutta )
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Charge $ 275.00 EachTotal Anglers : ______ |
Charge $ 50.00 Each |
Total Jr . Anglers : ______ |
Guest Registration / Shirt Size |
Child Registration / Age / Shirt Size |
List Names ( Other Than Anglers ) |
List Names ( Other Than Jr . Anglers ) |
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Charge $ 175.00 EachTotal Guests : _______ |
Charge $ 25.00 Each |
Total Children : ______ |
Single Night Registration $ 125.00 per person _______ |
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Total Anglers X $ 275 each = $__________ Total Jr . Anglers X $ 50 each =$__________ Total Guests X $ 175 each = $__________ Total Children X $ 25 each = $__________ Total Calcutta X $ 50 each = $__________ ( Total from Calcutta Form )
Grand Total = $_________ Check # ________
Single night registration for Friday , Sept . 30th or Saturday , Oct . 1st is available upon request for $ 125.00 per night . Registration form must be received in advance to guarantee reservations by August 26 , 2022 , registrations received after the deadline date will be accessed a $ 50.00 late fee . Please send completed form to Rhonda Cason at NUCASWFL @ gmail . 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 Myers , FL 33906 . Please note payments are accepted by check , cash or credit card . If payment by credit card is preferred , a 3 % processing fee will be added to the total .
Thank you ! We look forward to seeing you at South Seas Resort !
PARTICIPANTS IN THE NUCA OF SWFL ANNUAL FISHING TOURNAMENT ENTER AT THEIR OWN RISK . OFFICIALS , COMMITTEE MEMBERS , SOUTH SEAS RESORT PERSONNEL , AND ALL PERSONS CONNECTED DIRECTLY OR INDIRECTLY WITH SOUTHWEST FLORIDA UTILITY CONTRACTORS ASSOCIATION D / B / A NUCA OF SOUTHWEST FLORIDA , SHALL BE EXEMPT FROM ANY LIABIL- ITY FOR LOSS , DAMAGE , NEGLIGENCE , HARM OR INJURY SUFFERED BY ANY PARTICIPANT , ENTRANT , SPORT FISHERMAN , THEIR COMPANIONS , BOAT CAPTAINS , AND CREW MEMBERS , VESSELS AND EQUIPMENT , WHICH MAY OCCUR DURING THIS TOURNAMENT .
Company : ________________________________________________________
Contact : __________________________ Phone #:______________ Signature _________________________________________
40 DITCHMEN • JULY 2022