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JERSEY COAST FLUKE TOURNAMENT EXPRESS ENTRY FORM
FISHING DATE June 9, 2012 - AWARDS CEREMONY June 15th
Entry Fee $120 until June 2, 2012
Late Entry fee $150 after June 2, 2012

10 PORTS - 10 WEIGH STATIONS (check one)

__ JERSEY CITY (Lightship dock Liberty Landing) __ SANDY HOOK (Gateway Marina & Yacht Sales)
__ SHARK RIVER (Fisherman's Den) __ MANASQUAN RIVER (Clark's Marina)
__ BARNEGAT BAY (Southwinds Marina) __ LONG BEACH ISLAND (Fisherman's Hqs)
__ GREAT BAY (Great Bay Marina) __ OCEAN CITY (Fin-Atics)
__ CAPE MAY (Jim's Bait & Tackle) __ FORTESCUE (Higbee's Marina)

Weigh-In station information will be mailed to you after receipt of your registration form.

REGISTRATION  (please print clearly) Check Here (___) if first-time participant
Name: _____________________________________________________________
Address: __________________________________________________________
City: _______________________________ State: _____ Zip: ___________
Phone: _____ - _____ - ______     Name of Fishing Club (if any): ____________________
Fishing from (check one):  Boat____   Pier____   Surf____   Charter____   Party Boat____
Check Applicable Tournament Options:
  Tournament Early entry fee by June 2, 2012 (per boat up to 6 anglers) $120.00
(or after June 2)  $150.00
(NEW) Optional Striped Bass Cash Category - Those who enter our fluke tournament may also enter the striped bass cash category. In this category entrants will be competing only against others who are fishing out of the same port. For this category, JCAA will pay out 60% of the money taken in from each port. The entrant weighing in the heaviest striped bass for each port will receive all the cash paid out for that particular port.
  Striped Bass Cash Category: $50.00
  Become a JCAA Associate Member by adding $25.00
  Total Payment: $ ______

The tournament will be held rain or shine. It's the decision of the registrant/captain to evaluate weather conditions and decide to participate. Complete tournament rules, weigh-in locations plus a weigh-in affidavit will be sent by return mail. Complete this form and mail it with a check payable to JCAA or use your credit card by providing the additional information below and mail/fax it to:

JCAA Fluke Tournament, 1201 Route 37 East, Suite 9, Toms River, NJ 08753
Phone 732-506-6565   Fax 732-506-6975

MASTER CARD ____ VISA____ DISCOVER____
Card Number _______ - _______ - _______ - _______ Expiration Date _____/_____
Name on Card ________________________ Signature ____________________________
* Some prizes may be pending.  Check our website for updates.

General Release

The tournament will be held rain or shine. It is the sole responsibility of the registrant/captain of all entered boats to determine if weather and sea conditions are safe to fish. Participants expressly and unconditionally agree as a condition to the acceptance of their application that JCAA and its administrators, officers, and agents are not liable for any claims, suits, or obligations arising out of or resulting from participation in this event as a result of negligent or intentional conduct by JCAA or its sponsors. Participant agrees to indemnify and hold JCAA harmless for all claims and costs, including reasonable attorney fees, arising out of his or her conduct resulting from participation in the tournament.

I understand that in conjunction with engaging in the JCAA Tournament, I could experience certain hazards and become involved in certain risks. I further recognize that it would be impractical as well as unfair for the JCAA, its officers, directors and committee members and/or any and all other persons or boat owners and their crew directly or indirectly involved in or connected with the Tournament to be liable or responsible in any way for my safety. I hereby release, hold harmless and forever discharge the Tournament and its officers, directors, committee members, and tournament sponsors from any liability and/or libel, slander, loss, damage, harm, injury or death suffered by me or which may occur during the Tournament. I understand this includes any claims based upon any negligent act or omission.

I understand that I enter the Tournament at my own risk and hereby assume all risks which may be involved in participating in the Tournament, particularly hazards due to weather conditions, and I fully understand that at any time during my participation I may elect not to participate when I think weather or any other hazards are too extreme.

I, by entering this Tournament, do hereby agree to the terms and conditions of this General Release and agree to abide by the rules and regulations prescribed for competition in the JCAA 2012 Fluke Tournament

Registrant’s/Captain’s signature: _________________________________________   Date: __________

Please read the rules regarding the fishing event and the dispersal of prizes, which will be mailed to you. You may also view them on our web site at: www.jcaa.org

Prizes are awarded to the registrant. It is his or her responsibility to allocate the prizes to the anglers in their crew if they so desire. Some prizes may not be appropriate for minors. Proper ID will be required for IRS 1099-MISC for prizes exceeding $600.00.