John & Kellie Pato presents : Lake Davis, Portola, CA.
Annual ice/winter fishing tournament
$20.00 entry fee
REGISTRATION FORM
Please Print First, Initial, Last Name__________________________________________________Date_____________________
Mailing Address_________________________________________________________________________ Phone________________________________Email______________________________________ I have read and agree to comply with all of the rules of John & Kellie Pato’s annual ice/winter fishing tournament at Lake Davis, Portola, CA. and the rules and regulations of the Plumas National Forest. I have agreed to assume all risks of my participation and that of my minor children. I also agree not to hold John & Kellie Pato, J & J’s Grizzly Store the County of Plumas and the USFS, The Department of Fish & Game, their officials, employees, agents and volunteers harmless for any damage, loss, liability or injury that I and/or my minor children suffer as a result of my/our participation in any activity related to the fishing tournament. ______________________________________________________________________________ |
Please mail one registration per person entering the tournament. Payment for all registrations may be combined into one personal check or money order. Registration Forms Available at: Mill Works, Graeagle CA and J & J’s Grizzly Store, at Lake Davis, Portola CA Pre-registration $20.00 /person Day of the Tournament Registration $20.00/person Proceeds go to American Cancer Society non-profit organization. Payment to: John Pato Sr, 682 North Gulling Portola CA 96122
_______________________________________________________ RULES
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