2021 MONTANA GOVERNOR’S CUP WALLEYE TOURNAMENT APPLICATION
PLEASE PRINT & FILL OUT ALL INFORMATION COMPLETELY!
ENTRY FORM MUST BE COMPLETELY FILLED OUT TO RECEIVE TEAM NUMBER!
FIRST TEAM MEMBER:
Name _______________________________________ Social Security # ________________________
Mailing Address __________________________ City ______________ State _____ Zip _________
Home Phone # ___________________ Work # ____________________ Cell # ___________________
Email ____________________________________________ Age ______ Male Female
CHECK ONE THAT APPLIES: Adult/Child Team (under 18 years)
Mixed Couple Team (Male & Female)
Neither
SECOND TEAM MEMBER:
Name _______________________________________ Social Security # ________________________
Mailing Address __________________________ City ______________ State _____ Zip _________
Home Phone # ___________________ Work # ____________________ Cell # ___________________
Email ____________________________________________ Age ______ Male Female
ANGLER ID # (Please use your FULL MFWP/ALS # (birthdate + number) which is found on your fishing license - same from year to year)
Angler 1 # _______________________________ Angler 2 # _________________________________
TEAM SPONSOR OR SPONSORS: _______________________________________________________
_______________________________________________________
TOURNAMENT BOAT ____________________ MOTOR MAKE AND SIZE _____________________
ADULT/CHILD TOURNAMENT/GUYS & GALS TOURNAMENT
Thursday, July 8, 2021 8:00am – 12:00pm (Entry Fee: $30 per team)
Team Member Names __________________________________________________________________
__________________________________________________________________
I acknowledge that I am VOLUNTARILY participating in the Montana Governor’s Cup Walleye Tournament. In consideration of being permitted to participate in the Montana
Governor’s Cup Walleye Tournament, I do for myself, my heirs, executors, administrators and assign, hereby release and forever discharge the Montana Governor’s Cup
Walleye Tournament, the Montana Governor’s Cup Committee, Glasgow Area Chamber of Commerce and Agriculture, Inc., the tournament director, and any and all
sponsoring companies, entries, and individuals, their heirs, successors, administrators and assigns, from any and every claim, demand, actions or right of action, of whatever
kind of nature, either in law or in equity, arising from or by reason of any bodily injury or personal injuries, known or unknown, death or property damage resulting or to be
result from any accident which may occur as a result of my participation in the Montana Governor’s Cup Walleye Tournament, activity or any activities, in connection with the
Montana Governor’s Walleye Tournament, whether by negligence or otherwise.
I further release all officials, staff, volunteers, participating sponsors companies and agencies from any claim whatsoever on account of first aid, treatment or service rendered
me during my participation in the Montana Governor’s Cup Walleye Tournament. This release contains the entire agreement between the parties hereto, and the terms of
this release are contractual and not a mere recital.
I HAVE READ THE RELEASE OF LIABILITY, PARTICIPANT AGREEMENT CAREFULLY AND UNDERSTAND ALL OF ITS TERMS AND CONDITIONS. I SIGN UP VOLUNTARILY AND
WITHOUT ANY RESERVATIONS.
SIGNATURE OF FIRST TEAM MEMBER ____________________________________________________________ DATE _______________________
SIGNATURE OF SECOND TEAM MEMBER ________________________________________________________ DATE _______________________
LEGAL GUARDIAN SIGNATURE (IF APPLICABLE) _____________________________________________________ DATE _______________________
MAKE CHECKS PAYABLE TO: MT Gov Cup
PO Box 832
Glasgow, MT 59230
