| Application for 4th Annual Horne Pond (Pequawket) Ice Fishing Derby |
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| Please Print this page out and mail to the address below. NAME: __________________________________________________ ADDRESS: _______________________________________________ ________________________________________________________ TOWN: _________________________________________________ STATE & ZIP: ____________________________________________ PHONE #: _________________________________________________ Please Circle one: ADULT FEE $15.00 KIDS FEE: $5.00 Please send a check to: Todd Boothby or Camp Sunshine 16 Fair Winds Dr. Steep Falls, ME 04085 tboothby@eagleinds.com Liability: Each person is responsible for their own items. Lost, misplaced, or stolen items are not the events responsibility. In the event of an injury or an accident occurs the event coordinators will not be held responsible in any way. Ice conditions may be thin in areas, travel lightly and always make safety your first priority. We do not recommend driving your vehicle on the ice. Entering this event means that you agree to these terms. |