"Ladies, Let's Go Fishing!"
Naples Seminar Registration
March 19-21, 2010
Fax is down, register by phone

This Form is for printing only. This is not an interactive web form. Complete, print & mail or fax both pages of this enrollment form with check or credit card information to "Ladies, Let's Go Fishing" P. O. Box 550429, Ft. Lauderdale, FL 33355, Phone: (954)475-9068, Fax: (954) 474-7299, E-mail: info@ladiesletsgofishing.com. RESERVE EARLY - CLASSES MAY SELL OUT! NOTE: As of 3/13/10 our fax line is down, please call 954-475-9068 or email the information until the line is repaired in the next few days. To email, you can cut and paste this info into your message or save it as a Word doc, and email the completed form as an attachment.
PERSONAL INFORMATION

Name:_________________________________
Address:_______________________________
City, State, Zip: _________________________
Home Phone:(_______) __________________
Work Phone: (_______) __________________
Cell Phone: (_______) ___________________
Fax Number: (_______) __________________
Email: ________________________________
Year of Birth: __________________
Business Name: ________________________
Shirt Size ____________________ (For reference only)
Select Class level (click here for level description)
__ Beginner
__ Intermediate / Advanced
PAYMENT INFORMATION
Payment: ___ Visa ___ MC ___ Discover ___ Check
Credit Card# ______________________
Exp. Date: ________________ Billing Zip Code ___________
Name on Card ______________________
(please print)

Number of people in party:______________

Other Party Memebers Names: ________________________________________________________

________________________________________________________

Seminar to be held at the beautiful

Naples Harbour Yacht Club

475 North Road, Naples FL 34108

 

SEMINAR REGISTRATION

Weekend Seminar Registration includes: lunch, goody bag, class book, instruction, use of equipment and more!

_____$99 Registration Special (until March 12, 2010)

_____$125 Regular Registration Fee (March 13- March 18, 2010)

_____$145 Late Registration Fee (March 19 & Walk-In)

 

FISHING ADVENTURE INDIVIDUAL REGISTRATION (optional)

Naples Fishing Rates:
(Rates are per person. Coming alone? Don't worry, no need to fill the boat, we do it for you!)

$______ $99 - Fishing from Party Boat (7:30am-noon, gratuity not incl.) Bottom fish for grouper and snapper. Perhaps troll for mackerel!

$______ $140 - Bay/Flats Fishing Boat (4 hours, approx. 7:30-12:30 am, gratuity not incl., 3-4 persons/per boat) Fish for snook, trout, redfish, tarpon & more!

Need help deciding which boat category? Just click here! Fishing Adventure prices subject to change based on increasing fuel prices.

 

TOTAL AMOUNT ENCLOSED

  $ _____ Registration Fee (Date:_________________)
+ $ _____ Fishing Adventure Price
= $ _____ Total Enclosed
SPONSORSHIP/DONATIONS

___Yes, my company would like to be a SPONSOR/donor. Please contact me!

LIABILITY ACKNOWLEDGEMENT AND WAIVER OF CLAIMS

I,__________________________ , participate in the organization known as "Ladies, Let's Go Fishing!", which engages in sport fishing and other recreational outings. For and in consideration of the reciprocal release of other participants of "Ladies, Let's Go Fishing!" to me and for other good and valuable consideration to me, including my right to participate in the activities of "Ladies, Let's Go Fishing!", I, the undersigned, for and on behalf of myself and my heirs, successors, and assigns, assume sole and exclusive liability and release "Ladies, Let's Go Fishing!" and its sponsors and participants ("Released Parties") from liability for any damage to my person or property that I may incur as a result of or in the course of any activities of "Ladies, Let's Go Fishing!".
It is specifically understood and agreed that this Liability Acknowledgement and Waiver Of Claims includes, but is not limited to, any and all claims, which I may have against the Released Parties, or any of them, whether such claims are based upon tort, contract, common law, and/or statutory law.
I agree not to institute or assist others in instituting any action against Released Parties for or because of any incident or event occurring prior to the date of this Liability Acknowledgement and Waiver Of Claims.
I declare that I have fully read the foregoing Liability Acknowledgement and Waiver Of Claims in its entirety and that I have been fully advised by my attorney or have had an opportunity to receive advice from an attorney, prior to executing this Liability Acknowledgement and Waiver Of Claims, and that I know and understand the contents hereof and have signed the same as my own free, intelligent, and voluntary act.


Signature:___________________________________________________


Print Name:__________________________________________________


Date:_______________________________________________________

NEW CANCELLATION POLICY FOR 2010:

No cash refunds will be made for seminar registration. Cancellations made by March 5, 5pm EST, will be issued a class credit, in the amount paid, and valid for 24 months from the date of action. Cancellations made after March 5, 5pm EST, will forfeit funds. We will accept a substitute in your place, with reasonable notice ahead of time. Fishing fees, minus a $10 credit card cancellation fee, may be refunded onlyif a substitute is found for your space, by 5 pm on March 12, since cancellation will effect boat minimums and other anglers.  Fishing fees must be paid in advance to hold space. Fishing reservations are on a first come, first serve basis. Availability is not guaranteed, unless you reserve all space on a boat. LLGF reserves the right to cancel & reschedule seminar if minimum attendance requirement is not met, whereas a class credit will be issued, in the amount paid, valid for 24 months, from date of cancellation. Class credit may also be issued in the form of a gift certicate. You will receive directions to the seminar, attire suggestions, confirmation of reservation & other tips by mail. Recommended age 21 and up, however 18 is the minimum age requirement for participation.

I have read and agree to the cancellation policy.


Signature ____________________________________________________

Date _____________________________