46th Annual JULY OPEN ’09
(July 3,4,5 & 6)
OBSERVER
APPLICATION
5-18-2009
Have you successfully
completed an International Game Fish Association (IGFA) Observer Training
Course? Yes _____ No ______
If Yes… Date _______________ Location _________________
Are you a member of the Intl. Game Fish Tournament
Observers, Inc.
Yes______ No______ (If yes,
fill-in Parts I. & III.)
Have you participated in previous July Open Events as
an Observer?
Yes____(date/s_____________)No____(If yes, fill-in Parts I. & III.)
First Name
__________________ Last Name
_______________________
Address
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Contact
Information:
E-Mail _____________________________
Phone __________________________home
Phone
__________________________work
Phone
__________________________cell
Emergency Contact:
Name
________________________________
Relationship ___________________________
Phone ________________________________
Have
you fished offshore before? Y ___ N ___ Approx. # of times _______
Are
you physically capable of observing from the cockpit? Y ___ N ___
Have
you ever been seasick under normal
sea conditions? Y ___ N ___
COMMENTS -- Additional information (i.e.; Medical
Restrictions, etc.)
__________________________________________________________
__________________________________________________________
__________________________________________________________
PART II. – BILLFISHING/OBSERVING EXPERIENCE
·
Have you
fished/observed offshore for Billfish? Y ____ N ____
Approximately
how many times? ______________
·
Approximate
number of Billfish you have seen caught ___________
Blue Marlin _________ White Marlin _________
Black Marlin ________ Striped Marlin ________
Sailfish ____________
Spearfish ____________
Please
list those Tournaments in which you have participated: (w/Dates)
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
· Have you fished Professionally?
Y ___ N ___
o
As a Captain? Y
___ N ___ Last date _____________
o
As a Mate? Y ___
N ___ Last date ________________
o
As a Commercial
Fisherman? Y ___ N ___ Last date ___________
o
As a Professional
Angler? Y ___ N ___ Last date ___________
Which areas have you gained most of your
Billfishing/Observing Experience?
East
Coast ___
Do you feel you have the experience and knowledge to
correctly identify the different species of Billfish? Y ____ N ____
If Yes, can
you provide the name of a professional Captain, Tournament Director, or
Tournament Observer Coordinator that can attest to your experience? Please
list:
Name _________________________ Phone/E-mail
_______________________
Name
_________________________ Phone/E-mail _______________________
(optional)
PART
III. – OBSERVER’S OATH OF
RESPONSIBILITY
I
swear that all information provided in this application is true to the best of
my knowledge. (Initial _________)
I
swear I will uphold the rules and regulations of the July Open Tournament in
which I may participate. (Initial
_________)
I
swear that I will not enter into any wagering in tournaments in which I
participate as an Observer (Initial
_________)
I
agree to hold harmless the VIGFC, tournament
committees, directors, coordinators and participants in the event of any
physical or emotional harm endured by me during my term of service. (Initial _________)
I
hereby apply for assignment as a Tournament Observer during the VIGFC July
Open. I understand that if selected, I will need to
send a check to the VIGFC-Observers,
_____________________________ _________________________________
Printed
Name
Signature
Date
EMAIL THIS APPLICATION TO: BOB@MALERBAS.COM
FAX : 203-634-4849
APPLICATIONS MUST BE RECEIVED BY JUNE 15TH,
2009
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