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Educational Fishing Trip Sign Up Sheet Angler 1 Angler 2 Address City/State/ Zip Phone E-Mail Location Requested Date Requested Please include a deposit of 50 per person per trip to reserve your date Total Deposit amount included Check Trip Type one only per sheet Full Day Trip 2-3 anglers 350. 00 total with balance due at end of trip 3 Hour Evening Detroit River Must be paid in full- 50/angler with a 100 minimum Sunday Detroit River Trip for 1-4 anglers 350 total with balance due at end of trip Mail to Lance Valentine s Walleye 101/ PO Box 90318 / Burton MI 48509-0318 Cancellations based on weather/water conditions are the final decision of the Captain* In the event of cancellation by the Captain the trip will be rescheduled* Captain may end the trip early for any unsafe or lewd behavior by any of the guests. NO ALCOHOL ALLOWED ON BOARD AT ANY TIME* prior will forfeit 1/2 of deposit. All other cancellations can be applied to another date. By signing this form you agree to hold harmless Lance Valentine s Walleye 101 Inc* and any and all promoters agents agencies employees and organizations assisting or providing services for the operation of the trip* Furthermore you agree to waive all responsibility for death injuries damages liability theft fire or loss to person and/or equipment of any kind* No unsigned entry will be accepted* All anglers must sign this form before boat leaves harbor. I have read understand and agree to the above listed terms and conditions concerning amount due for trip deposit information cancellation fee refund policy release of liability and general rules of trip I am attending. 00 total with balance due at end of trip 3 Hour Evening Detroit River Must be paid in full- 50/angler with a 100 minimum Sunday Detroit River Trip for 1-4 anglers 350 total with balance due at end of trip Mail to Lance Valentine s Walleye 101/ PO Box 90318 / Burton MI 48509-0318 Cancellations based on weather/water conditions are the final decision of the Captain* In the event of cancellation by the Captain the trip will be rescheduled* Captain may end the trip early for any unsafe or lewd behavior by any of the guests. NO ALCOHOL ALLOWED ON BOARD AT ANY TIME* prior will forfeit 1/2 of deposit. All other cancellations can be applied to another date. NO ALCOHOL ALLOWED ON BOARD AT ANY TIME* prior will forfeit 1/2 of deposit. All other cancellations can be applied to another date. By signing this form you agree to hold harmless Lance Valentine s Walleye 101 Inc* and any and all promoters agents agencies employees and organizations assisting or providing services for the operation of the trip* Furthermore you agree to waive all responsibility for death injuries damages liability theft fire or loss to person and/or equipment of any kind* No unsigned entry will be accepted* All anglers must sign this form before boat leaves harbor. By signing this form you agree to hold harmless Lance Valentine s Walleye 101 Inc* and any and all promoters agents agencies employees and organizations assisting or providing services for the operation of the trip* Furthermore you agree to waive all responsibility for death injuries damages liability theft fire or loss to person and/or equipment of any kind* No unsigned entry will be accepted* All anglers must sign this form before boat leaves harbor. I have read understand and agree to the above listed terms and conditions concerning amount due for trip deposit information cancellation fee refund policy release of liability and general rules of trip I am attending.

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