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KOI ENTRY FORM

4th Annual Tropical Koi Show
January 15, 2005
IGFA 300 Gulf Stream Way
Dania Beach , Florida 33004 U.S.A.

Please Print

 

Name ___________________________________________________________

 

Address _________________________________________________________

 

City _________________________________  State ______ ZIP ____________

 

Phone ______________  E-mail ______________________________________

 

TANK REGISTRATION

Tanks are $25. Over 5 fish per tank it is $5 per fish. Tank size and stocking levels will determined by fish size.

# of Tanks ________         # of Fish _________

 

All fish entered into the show need individual photos. You can provide the photos or you can request that the show take Photos of your fish. Each Photo is $8.00

# of Photos ___________

 

Two or more entrants may share a tank by mutual agreement. Even if a tank is shared, each individual must complete a KOI ENTRY FORM for his or her fish in the shared tank. If you plan to share a tank, with whom will you be sharing?

 

Name ___________________________________________________________

 

Banquet Awards Ceremony. All entrants are encouraged to register for the awards dinner. It will be a gourmet meal served. The cost is $30 per person. # of  Dinners______

 

All necessary precautions will be taken by the Tropical Koi Club of South Florida to safeguard entered Koi including continued monitoring. Therefore, all participants in the show agree to hold the Tropical Koi Club of South Florida, its officer, and members blameless against any loss or injury to the fish. In addition, they agree that they have read and agree to the published rules and regulations of this show.

 

Signature: _______________________________   Date: __________________