Membership Form - DURACATS - Catfish Tournament Series

Name -__________________________________________                            Date -_______________

Address-_________________________________________

                _________________________________________

Phone # -__________________________

e-mail -____________________________

Memberships run from January 1^st - December 31^st

Single fee - $30.00 annual

Family fee - $50.00 annual (Family memberships includes 2 adults and children under 16 yrs. Of age)

All membership fees will be used for series expenses and promotional fees.

I have read and understand all of the DURACATS rules and regulations. By signing below, I agree to abide by these rules and be governed as stated in these rules and regulations. By signing below, I also hereby release DURACATS, DURACATS officials, participating members, any hosting officials and their employees, sponsors and local, state and federal officials from any liability due to injury, damage, theft, accidents or loss of life that may occur at any DURACATS function. Official rule changes made prior to an event take precedence over any prior written rules. All decisions made by the governing DURACATS officials concerning rules violations will be final.

Signature -__________________________________________              Date - ____________________

Mail to : DURACATS c/o Ken Lewis  P.O. Box 102  Brooklyn, In   46111-0102