Walk on Water Fishing Tournament Online Registration

The Saint Coleman's Men's Club Walk on Water Saltwater Fishing Tournament Registration Form

Early entry fee of $200 per vessel (up to four anglers) for online registration and payment via PayPal prior to midnight July 15, 2015. Early entry fee of $200 also for paper registration and payment received via mail prior to July 10, 2015. Regular fee of $225 in cash only for all registrations submitted at the captains' meeting on July 17, 2015 or received after July 10, 2015. Entry fee includes: captain's bag, official T-shirts for up to four anglers, and entry to the awards banquet dinner. Additional anglers: $20 each (includes T-Shirt and awards banquet dinner). Additional awards banquet dinner: $10.00 each.

Step 1 of 4

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Step 1: Vessel Registration
Please enter the requested Vessel Information below. The Captain information can be whoever you designate and the vessel's tournament representative.
Vessel Name*
Please enter the Vessel Name.
Captain Last Name*
Please enter the Captain Last Name.
Captain First Name*
Please enter the Captain First Name.
Captain E-mail Address*
Enter Email Confirm Email

Please enter the Captain E-mail Address to receive confirmation and certain tournament updates.
Captain Address*
Street Address City State ZIP Code

Please enter Captain Home Address.
Captain Mobile Phone Number*
Please enter the Captain mobile phone number here. As the Vessel's Representative, it is important we have a number at which you can be reached.

Step 2: Angler Registration
Please enter the requested Angler Information below. Each entry fee includes up to four (4) Anglers. You can register additional Anglers at a cost of $20.00 each.
Number of Anglers*
Please select the number of Anglers that you want to register. Please note that your registration includes four (4) Anglers. You can add Anglers at $20.00 per additional Angler. (The $20.00 includes a t-shirt and dinner ticket for the Angler.)
Will the Captain be an Angler?*
- Yes
- No
Please select "Yes" or "No." If the Captain will also be an Angler, the Captain will be listed as "Angler 1".
Angler 1 Last Name*
Please enter the Angler 1 Last Name.
Angler 1 First Name*
Please enter the Angler 1 First Name.
Angler 1 E-mail Address
Enter Email Confirm Email

Please enter the Angler 1 E-mail Address to receive confirmation and certain tournament updates.
Angler 1 Phone Number
Please enter the Angler 1 mobile phone number here. As the Vessel's Representative, it is important we have a number at which you can be reached.
Angler 1 Address
Street Address City State ZIP Code

Please enter Angler 1 Home Address.
Angler 1 T-Shirt Size:*
Please select the Angler 1 T-shirt size here. (This shirt is included with your Registration)
Captain T-Shirt Size:*
Please select the Captain T-shirt size here. (This shirt is included with your Registration)
Angler 2 Last Name*
Please enter the Angler 2 Last Name.
Angler 2 First Name*
Please enter the Angler 2 First Name.
Angler 2 E-mail Address
Enter Email Confirm Email

Please enter the Angler 2 E-mail Address to receive confirmation and certain tournament updates.
Angler 2 Phone Number
Please enter the Angler 2 mobile phone number here. As the Vessel's Representative, it is important we have a number at which you can be reached.
Angler 2 Address
Street Address City State ZIP Code

Please enter Angler 2 Home Address.
Angler 2 T-Shirt Size:*
Please select the Angler 2 T-shirt size here. (This shirt is included with your Registration)
Angler 3 Last Name*
Please enter the Angler 3 Last Name.
Angler 3 First Name*
Please enter the Angler 3 First Name.
Angler 3 E-mail Address
Enter Email Confirm Email

Please enter the Angler 3 E-mail Address to receive confirmation and certain tournament updates.
Angler 3 Phone Number
Please enter the Angler 3 mobile phone number here. As the Vessel's Representative, it is important we have a number at which you can be reached.
Angler 3 Address
Street Address City State ZIP Code

Please enter Angler 3 Home Address.
Angler 3 T-Shirt Size:*
Please select the Angler 3 T-shirt size here. (This shirt is included with your Registration)
Angler 4 Last Name*
Please enter the Angler 4 Last Name.
Angler 4 First Name*
Please enter the Angler 4 First Name.
Angler 4 E-mail Address
Enter Email Confirm Email

Please enter the Angler 4 E-mail Address to receive confirmation and certain tournament updates.
Angler 4 Phone Number
Please enter the Angler 4 mobile phone number here. As the Vessel's Representative, it is important we have a number at which you can be reached.
Angler 4 Address
Street Address City State ZIP Code

Please enter Angler 4 Home Address.
Angler 4 T-Shirt Size:*
Please select the Angler 4 T-shirt size here. (This shirt is included with your Registration)
Angler 5 Last Name*
Please enter the Angler 5 Last Name.
Angler 5 First Name*
Please enter the Angler 5 First Name.
Angler 5 E-mail Address
Enter Email Confirm Email

Please enter the Angler 5 E-mail Address to receive confirmation and certain tournament updates.
Angler 5 Phone Number
Please enter the Angler 5 mobile phone number here. As the Vessel's Representative, it is important we have a number at which you can be reached.
Angler 5 Address
Street Address City State ZIP Code

Please enter Angler 5 Home Address.
Angler 5 T-Shirt Size:*
Please select the Angler 5 T-shirt size here.
Angler 6 Last Name*
Please enter the Angler 6 Last Name.
Angler 6 First Name*
Please enter the Angler 6 First Name.
Angler 6 E-mail Address
Enter Email Confirm Email

Please enter the Angler 6 E-mail Address to receive confirmation and certain tournament updates.
Angler 6 Phone Number
Please enter the Angler 6 mobile phone number here. As the Vessel's Representative, it is important we have a number at which you can be reached.
Angler 6 Address
Street Address City State ZIP Code

Please enter Angler 6 Home Address.
Angler 6 T-Shirt Size:*
Please select the Angler 6 T-shirt size here.
Would you like to purchase extra Awards Banquet Tickets?*
- Yes
- No
Please select "Yes" or "No."
Number of Extra Awards Banquet Tickets*
Please select the number of Extra Awards Banquet Tickets that you wish to purchase. Each Awards Banquet Ticket costs $10.00.

Step 3: Acknowledgement & Signatures
All Tournament Participants must read and acknowledge the following Waiver of Liability, Assumption of Risk and Indemnity Agreement.
Waiver of Liability, Assumption of Risk and Indemnity Agreement:
Waiver and covenant not to sue: In consideration of being permitted to participate in the 2014 St. Coleman Men’s Club Walk on Water Fishing Tournament and related activities (the “Tournament”), I, for myself, my heirs, assigns or as personal representative, do hereby release, waive, discharge the Tournament officials, St. Coleman Men’s Club, St. Coleman Catholic Church, St. Coleman Catholic School or the Archdiocese of Miami, their corporate members, affiliated entities, officers, directors, employees, volunteers, sponsors and agents (collectively “Indemnitees”) from liability for any and all claims, and covenant not to sue Indemnitees for any and all claims, that I, or any minor for whom I am parent or guardian, have or may in the future have resulting from personal injury, accidents or illnesses (including death), or property loss, and whether arising at law, in equity or in admiralty, and arising from, but not limited to, participation in the Tournament, without regard to the cause of such injury, accidents, damages or death, and specifically including but not limited to injury, accidents, damages or death arising from the acts, omissions or negligence of Indemnitees. Assumption of Risk: Participation in the Tournament carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from, but are not limited to 1) minor injuries such as scratches, bruises, and sprains to 2) major injuries such as eye injury or loss of sight, joint of back injuries, heart attacks, and concussions to 3) catastrophic injuries including paralysis, drowning and death. I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in the Tournament. I hereby assert that my participation is voluntary and that I knowingly assume all such risks. I hereby acknowledge that I have been warned of such risks, and that I have been advised to take appropriate action and to govern myself accordingly. I am also aware that certain insurance companies do offer insurance against some of the many perils that may arise in connection with the Tournament, and that I may opt to insure myself should I so choose. On behalf of all of my underwriters, I hereby waive subrogation against Indemnitees for any claims I may have or may in the future have in connection with the Tournament. Indemnification and Hold Harmless: I agree to INDEMNIFY, DEFEND AND HOLD THE INDEMNITEES HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including reasonable attorney’s fees brought as a result of my involvement in the Tournament. If I am a captain or boat owner, I also agree to INDEMNIFY, DEFEND AND HOLD THE INDEMNITEES HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including reasonable attorney’s fees, brought against Indemnitees by or on behalf of any person who is present on my boat during the Tournament. Publication: I hereby grant to Indemnitees the right to photograph and videotape me and further to use my name, face, likeness, voice, and appearance in connection with exhibitions, publicity, advertising, and promotional materials without any reservation, limitation, or consideration. This waiver specifically releases any common law causes of action or claims under Fla. Stat. 540.08 and expressly constitutes written consent for publication of my name, face, likeness, voice and appearance. Minors: I understand and acknowledge that I am executing this agreement on my own behalf and also as parent or legal guardian of any minors listed as Anglers on my application, and any other minors who may participate with my permission in the Tournament. I certify that I am the parent or legal guardian of each such minor or have been authorized by the minor’s parent or legal guardian to act on their behalf. I voluntarily and knowingly agree that the waiver, assumption of risk, indemnity and release of rights relating to publication as set forth above shall apply to each such minor as well as to myself, and that such waiver, assumption of risk, indemnity and release of rights relating to publication are agreed on my own behalf and in my capacity as legal representative for any such minors. Severability: I agree that this waiver, assumption of risks and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the State of Florida and that, if any portion hereof is held invalid, the balance shall continue in full legal force and effect. Incorporation of Rules: I have been provided with and have read the Tournament rules. I understand and agree to all Tournament rules as set forth on the St. Coleman Men’s Club web site at www.stcmc.org and in this document. Acknowledgment of Understanding: THIS IS A WAIVER OF ALL CLAIMS. I HAVE READ THIS WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO SUE AND MY RIGHT TO SUE ON BEHALF OF ANY MINORS ONBOARD. I ACKNOWLEDGE THAT I AM SIGNING THE AGREEMENT FREELY AND VOLUNTARILY, AND INTEND BY MY SIGNATURE TO GRANT A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
Acknowledgement*
- I have read, understand and agree to the Waiver of Liability, Assumption of Risk and Indemnity Agreement above and such Terms as have all who sign below accordingly:
Captain Signature*
Enter Captain Name. By signing below, the Captain acknowledges the aforementioned on behalf of all entered anglers. Pursuant to Florida's Electronic Signature Act of 1996, typing your name in the filed above constitutes a binding electronic signature.
Angler 1 Signature*
Enter Angler 1 Name. By signing below, Angler 1 acknowledges the aforementioned on behalf of Captain and all entered anglers.Pursuant to Florida's Electronic Signature Act of 1996, typing your name in the filed above constitutes a binding electronic signature.

Step 4: Proceed to Checkout
Please click the CHECKOUT button below to review your Entry and proceed to Checkout.
2013 Walk on Water Tournament Entry
Price: $200.00
Entry includes up to four (4) Anglers. Each additional Angler costs $20.00 each.
One (1) Additional Angler
Price: $20.00
Two (2) Additional Anglers
Price: $40.00
One (1) Extra Awards Banquet Ticket
Price: $10.00
Two (2) Extra Awards Banquet Tickets
Price: $20.00
Three (3) Extra Awards Banquet Tickets
Price: $30.00
Four (4) Extra Awards Banquet Tickets
Price: $40.00
Five (5) Extra Awards Banquet Tickets
Price: $50.00
Six (6) Extra Awards Banquet Tickets
Price: $60.00
Seven (7) Extra Awards Banquet Tickets
Price: $70.00
Eight (8) Extra Awards Banquet Tickets
Price: $80.00
Nine (9) Extra Awards Banquet Tickets
Price: $90.00
Ten (10) Extra Awards Banquet Tickets
Price: $100.00

Walk on Water Fishing Tournament Online Registration

The Saint Coleman's Men's Club Walk on Water Saltwater Fishing Tournament Registration Form

Step 1 of 4

Step 1: Vessel Registration

Step 2: Angler Registration

Step 3: Acknowledgement & Signatures

Step 4: Proceed to Checkout