Registration Form To Register, fill out form, then print or email. To pay online, use the PayPal Buy Now button. LAKE HARDING $75.00 NORTH GA LAKES $75.00 SAVANNAH - COFFEE BLUFF $75.00 LAKE OCONEE $75.00 ALL 4 TOURNAMENTS $300.00 HARDING MILITARY-YOUTH $37.50 N GA MILITARY-YOUTH $37.50 SAV/CBM MILITARY YOUTH $37.50 OCONEE MILITARY-YOUTH $37.50 First Name* Last Name* Suffix Screen Name Address City State Zip Home Phone Work Phone Cell Phone Email Gender <-select->Male Female Age Range: <-select->12-17 18-24 25-34 35-44 45-54 55-64 65 & over Under 18 you must have parents or legal guardian’s signature below. Emergency Contact Name Contact Phone: Kayak Make Kayak Model Kayak Color Camera Make Camera Model Number of Years Kayak Fishing Number of kayak tournaments previously competed Fee: $75 per individual tournament $300 for the entire trail Lake Harding North GA Savannah Lake Oconee   If paying by check, please make check payable to Georgia Kayak Fishing Foundation   Mail to: David Minich, Treasurer 218 Taylor Street Americus, GA 31709 Participant listed above acknowledges and accepts the following: To follow all tournament rules. Failure to do so will result in immediate disqualification. Acknowledges and fully understands that he/she will be engaging in activities that involve serious risk of injury including permanent disability and death which might result not only from his/her actions, inactions and negligence but the actions of, inactions and negligence of others or the condition of equipment used. Furthermore, there may be risks not known to Georgia Kayak Fishing Foundation or not reasonably foreseeable. Assumes the foregoing risks and accepts personal responsibility for the damages following in any injury, permanent disability or death.   Signed________________________________________ Date___________________________       Parent/Guardian_________________________________ Date___________________________