CONTENDER CUP ENTRY FORM (NOW JANUARY 23, 2010)

Name_______________________________________________

Phone_______________________________________________

Street______________________City______________________

State________________________Zip_____________________

Email address for Updates_______________________________

Boat make_____________ length base on state registration _____

Boat reg. No.________________________

Team name_____________________________________________

Boat name______________________________________________

Social Security# or Tax ID#______________________________

I as entrant do hereby RELEASE, DISCHARGE, and HOLD HARMLESS Contender
Cup Striper Tournament and its sponsors, whether individual or corporate, from any
claim for damages to my person or property as a result of my participation in The 2007
Contender Cup. By signing the entry form and paying my entry fees, I acknowledge
that I have read this release and am bound by same. This release shall also be binding
on my heirs, executors, administrators, or assigns. Furthermore, I do acknowledge that
I have read the rules of the Tournament and agree that all decisions of the Rules
Committee will be final and incontestable.

Entrant's Signature_______________________________Date_____________

ENTRY FEE: $175 per Boat entries Post marked ON OR before 1 Dec 2009
$250 after 1 DEC 2009
Please send check payable to: Captain Max King's Marine, LLC
2100 Marina Shores Drive Suite 134, Virginia Beach, VA 23451