
Name: ____________________________________________________________ Street Address: __________________________________________________ City: ___________________________ State: ______ Zip Code: ________ Area Code: _______ Phone: ________________________________________ Age: _____________________________________________________________ Male: _________________________ Female: __________________________
My check or money order for $20.00 if postmarked by January 31, 2006 or $25.00 if postmarked February 1, 2006 or later is enclosed, payable to SHAD TOURNAMENT 2006 (please do not send cash). I agree to abide by all Official Rules and Regulations of the Tournament. I agree to waive any liability on the part of the principal sponsor, all other sponsors, and the City of Easton in connection with the operation of the Forks of the Delaware Shad Fishing Tournament. To be eligible, I understand that my registration must be received, by mail or in person, no later than MIDNIGHT THURSDAY, APRIL 20, 2006. The weigh station will be open from 9 AM - 6 PM on THURSDAY APRIL 20, 2006 FOR ALL THE LAST MINUTE REGISTRANTS.
Signature: ___________________________________________
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REGISTRATION FORMS available at City Hall Recreation Bureau, Downtown Easton during business hours, Monday - Friday.
Last Day to Register Promo: Thursday, April 20, 2006 Weigh Station, Scott Park 9:00 am - 6:00 pm.