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2023 P&R OHANA SHORELINE FISHING TOURNAMENT <br />Complete in entirety, mail registration documents and payments to: <br />Recreation Division Office <br />Attn: Ohana Shoreline Fishing Tournament <br />799 Piilani Street <br />Hilo, HI 96720 <br />NOTE: PLEASE CALL 808-217-6074 <br />TO VERIFY RECEIPT OF YOUR ENTRY BY JULY 31, 2023. <br />2023 P&R Ohana Shoreline Fishing Tournament <br />Release and Indemnity Form <br />(Full Legal Name) , I hereby agree to comply and <br />abide by all rules and regulations of the 2023 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, cause <br />or may be attributed to me in connection with or as a result of my participation in the "2023 P&R `Ghana <br />Shoreline Fishing Tournament." On behalf of myself, my heirs and personal representative, I further <br />agree to indemnify and hold harmless each of the aforementioned from and against any loss, damages <br />cost, judgment, or payment of any kind or nature, made by myself, my estate, or any person or entity, in <br />connection with any injury, including death, or property loss, which I may suffer or incur as a result of my <br />participation in the "2023 P&R Ohana Shoreline Fishing Tournament." <br />* I understand and agree to the possibility of the news media filming and/or photographing my participation <br />in this event. I give permission to the County of Hawaii, Department of Parks & Recreation, it's agents or <br />employees to publish any film/photograph in their newsletters, websites, and other non -County <br />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 />