INTERNATIONAL WOMEN FLY FISHERS RENDEZVOUS 2008
Kern River Rendezvous

March 6 - 9, 2008

Registration Form

Kern River Rendezvous March 6 - 9, 2008

NAME________________________________E-MAIL________________________

ADDRESS___________________________________________________________

PHONE________________________            IWFF MEMBER YES____NO____

CLUB AFFILIATION (if any):  ___________________________________________

EMERGENCY CONTACT (Name/Phone Number):  ___________________________

                                                                        ____________________________          

FULL REGISTRATION:

$125.00 (non-member)__________ (includes $25.00 IWFF annual membership dues).

            Cost for the entire weekend (other than lodging)

$ 100.00 (IWFF)_______________ members only  

            Cost for the entire weekend (other than lodging) 

$ 45.00_______________(Saturday lunch, and  dinner) Cost if you can only attend on Saturday

TOTAL FEES: $______________              DUE NO LATER THAN: Feb 28th, 2007

Pay by check, payable to IWFF and send to:

PLEASE PRINT THIS FORM OUT AND MAIL TO:

Teresa Adams                   6021 Medio Luna Ave        Bakersfield, CA 93308

661 330-1649 – cell                   661 872-3015 – home       Tadams4@bak.rr.com

______________________________________________________________________________

Waiver of Liability and Photo Release

In consideration of participating in International Women Fly Fishing activities and/or events, I hereby indemnify and hold harmless International Women Fly Fishers, its Officers, Board of Directors, Members and Agents from any and all liability for injury suffered by myself, or my minor children, arising from or connected with club activities and events.  I assume all the risk for any injury received and agree to hold the International Women Fly Fishers free and harmless from any and all costs, expenses and attorneys fees incurred in connection with any injury, claim or demand brought thereon.  I further agree to be bound by all terms and conditions set forth in the club by-laws and regulations.

I further hereby authorize and consent to the use and reproduction by International Women Fly Fishers of photographs taken of me, or my minor children, at the International Women Fly Fishers 2008 Kern River Regional Rendezvous.  Any such photographs may be used in the International Women Fly Fishers newsletter, web site, or any other International Women Fly Fishers publications, promotions or educational materials.

DATED:  __________________________                                    _______________________________________