Print Entry Form and submit to our office:
“Legend of Lake Fork Tournament”, 538 PR 5861, Yantis, TX 75497
(903) 383-7748 or (903) 383-7747 fax
To qualify for early entry, application must be received no later than 4/30/12.
Indicate number of days to fish 􀁒 $125 (1) Day Entry 􀁒 $210 (2) Day Entry 􀁒 $285 (3) Day Entry
If only fishing one day please indicate which day you will participate: 􀁒 Friday  􀁒 Saturday 􀁒 Sunday
($10.00 Discount if Paying By Cash, Check or Money Order)
Entry Fee After 4/30/12 at Tournament Headquarters ~ Lake Fork Marina ~ 903-765-2764
1 Day ~ $140 2 Day ~ $230  3 Day ~ $305 *(No Checks Will Be Accepted At Late Registration)
Entries and Check-In, Lake Fork Marina:
Thu. 5/17/12 ~ 2 P.M. to 9 P.M. – Fri. 5/18/12 ~ 5 A.M. to 6 A.M. & 4 P.M. to 9 P.M.
Sat. 5/19/12 ~ 5 A.M. to 6 A.M. & 4 P.M. to 9 P.M. – Sun. 5/20/12 ~ 5 A.M. to 6 A.M.

FIRST NAME: LAST NAME:
ADDRESS: PHONE: (            )
CITY: STATE:                                                      ZIP:
EMAIL: BIRTH DATE (mm/dd/yy):
SOCIAL SECURITY #: ___ ___ ___-___ ___-___ ___ ___ ___

I hereby enter the above “Legend of Lake Fork” tournament. I have read and understand the rules and waive and release all other Contestants, Tournament Directors, Tournament Sponsors, and their agents from all claims of personal injuries, accidents and/or damaged, lost or stolen property incurred in connection with the tournament. I understand that $5 of my entry is a voluntary contribution to the “Wish To Fish Program”. I hereby grant permission to the tournament and all tournament officials the right to publicize, video tape, photograph and/or broadcast my name, character likeness or voice and the fact that I was a participant and/or prize winner, and all other matters incidental thereto. If I place for any prize, I will submit to a polygraph examination or be disqualified and will abide with such results. Contestant ratifies and approves entry in the above “Legend of Lake Fork Tournament” made on his/her behalf by another and agrees thereby to be bound by all rules of the tournament.
       SIGNATURE: _____________________________________________________________________
                                             Entry Form Must Be Signed To Be Valid

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION): This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
                                                                                                                             
                      Signature of Parent/Guardian of above minor

EARLY ENTRY INCENTIVE
Only early entries received on or before 4/30/12 will Qualify for Drawing to Win "Draw Boat"
( Legend LE 186SCX.)
_________________________
All Tournament Contestants can purchase a
 Legend Alpha Series rod (assortment of sizes)
 valued @ $259. for $50. (while supplies last)
  at Tournament Headquarters


CREDIT CARD #: ___ ___ ___ ___-___ ___ ___ ___-___ ___ ___ ___-___ ___ ___ ___

Expiration Date:______/______ ($10.00 handling fee per entry on credit card charges)

SIGNATURE: