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2016 Big Rock Registration Form

**Rules and/or Registration information is subject to change prior to the upcoming Big Rock Tournament, June 10-18, 2016


HMS Permit #
Link to Permit

Fill in Boxes on-line then PRINT form.
 Check here if this boat has fished in the Big Rock before.

Boat Name

Pay Prize Money to [Winner]

Make and Length

Winner's Address

Name of Owner

Winner's City, State, Zip

Owner's Address

Winner's Phone

Owner's City, State, Zip

Winner's Social Security Number
Where Docked During Tournament

Email Address

Boat Engine Type

I, as entrant do hereby RELEASE, DISCHARGE, and HOLD HARMLESS Crystal Coast Tournament, Inc., its officers, directors, and sponsors, whether individual or corporate, from any claim for damages to my person or property incurred by my participation in the Big Rock Blue Marlin Tournament. This release applies to members of my crew and all parties fishing from my boat.

By signing the entry form and paying my entry fee, I acknowledge that I have read this release and am bound by same. This release shall also be binding on my heir, executors, administrator, or assigns.

I further do hereby acknowledge that I have read and understand the rules of the tournament and agree to be bound by the terms and conditions contained therein.


Name of Captain

Captain's Address

Captain's City, State, Zip

Mobile # on Boat for Emergencies

Year-Round Contact Phone Number
Level I  (Mandatory) 60 Ways to Win 
Guaranteed Blue Marlin
Guaranteed Release Weekly
Guaranteed Daily Release
Guaranteed First Release of Each Day
Guaranteed Gamefish Weekly
Guaranteed Gamefish Daily
Level II  $1,500
Level III
*Must Enter Level I & II to Enter Level III
Level IV Winner Take All
*Must Enter Level I, II, III to Enter Level IV
Shimano Level V Release $1500
Level VI Dolphin Winner Take All $1000
Fabulous Fisherman's Level VII
*Must Enter Levels I thru VI to Enter Level VII.
 Level VIII CONTENDER & Starling Marine Outboard Level $1000
Make checks payable to Big Rock
Please check which levels you are entering and add for Total.

Rec'd by:

Total for All Levels $19,000 (excluding Level III Outboard Level)
Level I 4 passes; Level I & II  6 passes; Level I, II, III IV & VI  8 passes

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