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2022 P&R OHANA SHORELINE FISHING TOURNAMENT <br />Complete in entirety and mail payments to: <br />Recreation Division Office <br />Attn: Ohana Shoreline Fishing Tournament <br />799 Piilani Street <br />Hilo, HI 96720 <br />FOR MORE INFORMATION: Call 964-3301/936-4285. <br />NOTE: PLEASE CALL 964-3301/936-4285 TO VERIFY RECEIVING YOUR ENTRY <br />BY 7/31 /22 <br />2022 P&R Ohana Shoreline Fishing Tournament <br />Release and Indemnity Form <br />Name , I hereby agree to comply and abide <br />by all rules and regulations of the 2022 P&R Ohana Shoreline Fishing Tournament. <br />I understand that participation in this tournament may be dangerous and may result in personal injury, <br />including property loss, injury, and death. On behalf of my heirs and personal representative, I hereby <br />release the County of Hawaii, it's Parks & Recreation Department, Tournament Committee members, <br />sponsors and contributors from all property damage and injury, including death, which I may incur, <br />cause or may be attributed to me in connection with or as a result of my participation in the "2022 P&R <br />Ohana Shoreline Fishing Tournament." On behalf of myself, my heirs and personal representative, I <br />further agree to indemnify and hold harmless each and everyone of the aforementioned from and <br />against any loss, damages cost, judgment, or payment of any kind or nature, made by myself, my <br />estate, or any person or entity, in connection with any injury, including death, or property loss, which I <br />may suffer or incur as a result of my participation in the "2022 P&R Ohana Shoreline Fishing <br />Tournament." <br />* I understand and agree to the possibility of the news media filming and/or photographing my <br />participation in this event. I give permission to the County of Hawaii, Department of Parks & Recreation, <br />its agents or employees to publish any film/photograph in their newsletters, websites and other non - <br />County publications, for news and non-commercial purposes, without notifying me. <br />WITNESSED BY: YOUR SIGNATURE: <br />(Somebody other than you) <br />(Print Full Name) (Entrant's Signature) <br />(Signature of Witness) (Date) <br />(Date) (Parent / Guardian if under 18 years old) <br />Witness signature REQUIRED! All incomplete forms will NOT be accepted! <br />OHANA DIVISION SIGNATURES (Team Members) <br />1) 2) <br />(Signature) (Signature) <br />(Print Name) (Print Name) <br />3) 4) <br />(Signature) (Signature) <br />(Print Name) (Print Name) <br />