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The

  

Jet Ski Fishing Classic 2013                    

 

VENUE:                                 Ponta do Ouro, Southern Mozambique

HOST RESORT:                 Coco Rico

DATE:                                    15th and 16th February 2013. 14th Feb provisional fishing day in case of bad weather or free clinic

PRICE (entry only):            R890 before 25th Dec 2012..R980 before 27th Jan 2013..R1 200 after 27th Jan 2013

 

(Please fill in all details IN BLOCK CAPITALS. Incomplete entry forms will not be accepted)

 

COMPETITOR DETAILS:

 

FULL NAME:                                                                                                                                                       

 

SURNAME:                                                                                                                                                         

 

AGE:                                                                                                                                                                     

 

DATE OF BIRTH:                                                                                                                                                                                                                                               

ID NUMBER:                                                                                                                                                       

 

TYPE OF JET SKI INCL MAKE, COLOUR AND REGISTRATION:                                                          

 

                                                                                                                                                                               

 

 

SHIRT SIZE:                         (shirt only guaranteed if you booked and paid before 27 January 2012)

 

E-MAIL ADDRESS:                                                                                                                                            

 

 

TEL NUMBER:                                                                                                                                                   

 

CELL NUMBER:                                                                                                                                                

 

CITY OF RESIDENCE:                                                                                                                                      

 

 

NEXT OF KIN DETAILS:

 

NAME AND SURNAME:                                                                                                                   

 

EMERGENCY CONTACT NUMBER:                                                                                                            

 

RELATION:                                                                                                                                                          

 

 

TYPE OF ENTRY: (please tick box)

 

 

  1. 1.ENTRY ONLY

 

 

  1. 2.ENTRY AND ACCOMMODATION

 

 

ACCOMMODATION TO BE ARRANGED DIRECTLY WITH HOTEL ON 034 413 1418 AND QUOTE GO FISH IN ORDER TO GET SPECIAL RATES

 

 

 

Indemnity

 

I the undersigned,                                                                              (FULL NAME IN BLOCK CAPITALS)

Am a participant in the Racetech Yamaha Jet Ski event from 14th to 16th February 2013 organised by Go Fish Magazine and events. (Hereafter together referred to as Go Fish )

I Understand the risks of participating in a fishing event of this nature, whether as a competitor or spectator, and acknowledge that I will at no stage make any claims against Go Fish Events, Racetech Yamaha, Coco Rico Hotel, their sponsors, suppliers, employees or contractors for any loss, injury, or damage that may occur to me or my belongings while attending this event. While every effort will be made to ensure the safety of all patrons, Go Fish Events, Coco Rico and its sponsors, suppliers, employees or contractors shall not be held liable in any way or form for any death, loss, theft or damage to property or persons. I enter this event freely and fully accept all the risks to myself and my equipment. I do hereby on behalf of myself, my heirs, executors, administrators and assigns forever waive, discharge and release Go Fish Events and its sponsors, suppliers, employees or contractors against any claims of whatsoever nature and howsoever caused or arising directly or indirectly from, or as a result of my activities referred to above, including but not limiting to claims arising as a result of any act or omission of the Racetech Yamaha JetSki Classic event, prior to, on or after the date hereof, and particularly as a result of any activity of whatsoever nature in which Go Fish Events, Coco Rico, their sponsors, suppliers, employees or contractors in any way may be involved.

AND I indemnify Go Fish Events, Coco Rico, their sponsors, suppliers, employees or contractors against any and all such claims which may be preferred against them by any other persons or body. And in particular, but not without limiting the afore going, against any claims made against Go Fish Events, Coco Rico, their sponsors, suppliers, employees or contractors by my dependants or any one or more of them.

I understand that in the interests of safety of all participants the event organisers have the right to delay or even call off launching due to adverse weather conditions. I understand that organisers have no control over the weather and that a refund will not be offered in the unfortunate event of being unable to launch and/or fish. The accommodation will still be provided for and the organisers will do their utmost to entertain the guests in the case of no fishing taking place. In the unlikely event of rescue any costs of rescue incurred are payable by the person who is in need of rescue and not by the organisers or sponsors or their employees.

By signing this form I agree to pay in full the amounts above, 72 hours after submission of the form, and understand that my place may be lost if I do not do so. Cancellations two weeks or less prior to the event will NOT receive a refund under any circumstance and cancellations more than two weeks prior to the event may receive a 50% refund. I have read and fully understand everything in this indemnity form and fully completed the entry form to the best of my knowledge.

   Please note entry will only be guaranteed upon full payment. Due to the nature of production shirt sizes are a guideline and cannot be guaranteed. We will however endeavour to provide you with the size requested. Fishing licences are compulsory for all competitors. Skippers licence/ticket are compulsory. Any monetary prize will be paid via EFT at the end of February 2013.

 

 

SIGNATURE:                                                                                                                                         

 

DATE:                                                                                                                                                   

 

PLACE:                                                                                                                                  

 

GUARDIAN NAME: (IF APPLICANT UNDER 18)                                                

 

GUARDIANS SIGNATURE:                                                                                                                                                                  

RELATION:                                                                                                                                            

 

 

 

Please return completed and signed form (page 1 and 2 only) to:

 

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

For telephone queries call Brendan on 0711 316 206

    

 

Entry money must be deposited into the Event account below together with your full name as reference. EFT is preferred. If cash or cheque deposit please include an additional R20 on entry

 

            BANKING DETAILS

Go Fish Events

Standard Bank Hillcrest

Acc number: 052012433

Branch Code: 045726

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