INTERNATIONAL WOMEN FLY FISHERS
RENDEZVOUS 2008
Mount Shasta, California

Thursday, June 19 - Sunday, June 22

Rebecca Blair

6404 Lagunitas Avenue

El Cerrito, CA  94530

Space is Limited

Submission of this form and payment of the non-refundable registration fee is required to secure your registration and to book room reservations at Mount Shasta Ranch Bed and Breakfast.   Registration Deadline: September 15, 2007 or by arrangement.

Registration Form

International Women Fly Fishers

Rendezvous 2008 - Mount Shasta, California

Thursday June 19 – Sunday June 22, 2008

Name:     ______________________________________________________________

Address:  ______________________________________________________________

Phone:     ______________________________________________________________

Email:      ______________________________________________________________

Club Affiliation: __________________________________________________________

Dietary Restrictions:_____________________________________________________________

Emergency Contact Name & Phone:_________________________________________________________________

I am a beginner ___ intermediate ___ advanced ___ fly fisher.

I am a current IWFF member-$75 ___ I am a new member of IWFF-$100 ___   [fees are Non-refundable]

WAIVER OF LIABILITY/PHOTOGRAPH 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 Mount Shasta 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:  _____________       ______________________________________________                                                                                                                                    Signature

For more information:

Check the IWFF website at www.intlwomenflyfishers.org or contact Rebecca Blair at  rebecca_blair@sbcglobal.net

Submission of this form and payment of the non-refundable registration fee is required to secure your registration and to book room reservations at Mount Shasta Ranch Bed and Breakfast.   Registration Deadline:  April 15, 2008 or by arrangement.

For more information:

contact Jennifer Dunn at jd@dunnthat.com