RELEASE FORM

I, ____________________________________________, do hereby submit the enclosed photo(s) and information to SaginawBayWalleye.Com for publishing on the internet and do hereby release SaginawBayWalleye.Com of any and all liability.

I also accept all responsibility for my submitted photo(s) and information, holding SaginawBayWalleye.Com to be harmless in any and all claims for my submitting and their publishing of said photo(s) and information.

I acknowledge that the submitted photo(s) and information shall become the property of SaginawBayWalleye.Com and shall not be returned to me.

Additional Information:________________________________________________________

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Printed Legal Name _________________________________________________________

Mailing Address ____________________________________________________________

City, State, & Zip___________________________________________________________

Signature_____________________________________________ Date_________________

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Mail completed form and information to:

SaginawBayWalleye.Com

P.O.BOX 234

Hemlock, MI. 48626-0234