6th Annual
Red Neck Riviera
Spearfishing Tournament
  May 15 - June 19
, 2010

6721 David Dr S
Theodore, Alabama 36582

Application and Release Statement

Name _________________________________ Telephone ________

Address _________________________________________________

City ____________________________ State ____ Zip ________

Team Affiliation __________________ Date of Birth _________

SCUBA APPLICANTS MUST PROVIDE THE FOLLOWING INFORMATION

Certifying Agency and Number ______________ Years Experience _____

Registration fee is $55.00 (includes one high quality t-shirt).

Additional t-shirts may be purchased for $15.00.

Shirt size:    Large ____   X-Large _____ XX-Large ____

__ I will be participating in the  SNAPPER  winner take all JACKPOT $25.00
__ I will be participating in the FLOUNDER winner take all JACKPOT $25.00

Total amount enclosed:  $ _______ Make checks payable to: Ala. Spearfishing Assn.

Please enclose this form and mail with "non refundable" payment to the address at
the top of this page.  Mailed registration must be received no later than May 12, 2010.

RELEASE STATEMENT
I, ________________________, in consideration of permission granted me to
participate in this Spearfishing Tournament to be held May 15 - June 19, 2010
do hereby agree that I will not hold any official connected with said
tournament responsible for any accident or damage to me or my
property which may occur during said tournament.

Done this _____ day of _________________ 2010.

Signed ________________________  Witness _______________________

________________________________________________
Signature of parent or guardian if under 19 years of age.