20th Annual Redneck Riveria Spearfishing Tournament

  April 25^th – May 4th, 2025
Mail to: 4515 5th Avenue South
Birmingham, AL 35222
(205) 595-3052

Application and Release Statement

Name _______________________________________ Telephone ________

Address ______________________________________________________

City ___________________________________ State ____ Zip __________

Team Affiliation _________________________ Date of Birth ____________

*** Email Address_________________________________________________

SCUBA APPLICANTS MUST PROVIDE THE FOLLOWING INFORMATION

Certifying Agency and # __________________________Years Experience _____

Registration is $90.00 (ASA Member) #________ $110.00 (Non-ASA Members)

I will be participating in the ____________________ jackpot for an additional $25.00

Shirt Size________

_____  Paid Via PayPal

Total amount enclosed:  $ ___________ Make checks payable to: Ala. Spearfishing Assn.
Please enclose this form and mail with "non refundable" payment to the address at
the top of this page.  Mailed registration must be received no later than the Safety Meeting.

RELEASE STATEMENT
I, ________________________, in consideration of permission granted me to participate

in this Spearfishing Tournament to be held April 25^th – May 4^th, 2025

do hereby agree that I will not hold any official connected with said tournament

responsible for any accident or damage to me or my property which may occur during
said tournament. I have read, fully understand and agree to the rules of this contest.

Done this _____ day of _________________ 2025.

Signed ________________________  Witness _______________________

________________________________________________
Signature of parent or guardian if under 21 years of age.