15th Annual Fishing Event

Activity Schedule

Saturday, May 22, 2010Sunday, May 23, 2010

8:00 AMBegin Registration8:00 AM Begin Registration (Continental Breakfast) (Continental Breakfast)

9:00 AMLet’s Go Fishing8:30 AM Let’s Go Fishing

11:30AM Return to Dock11:30PM Return to Dock

12:00-1:00PM Lunch 12:00-1:00PM Lunch

1:00 PM Cast Off Again1:00PM Awards Presentation

3:30 PM Return to Dock

4:00 PMAwards Presentation

Fishing Has No Boundaries Policies:

  1. A responsible companion or attendant must accompany each participant. In some cases a group home supervisor may supervise multiple participants. All participants under 18 must be accompanied by a parent, guardian, or someone with authority who can make health related decisions in case of emergency.
  2. Participants must register in advance (no same day registration)
  3. Attendants / Participants who will require medications, special diet or other special needs during the event are responsible for these. Attendants are required to have information regarding participant’s medications with them at the event in case of an emergency.
  4. Regardless of one’s disability, there will be no independent fishing for this event. Participants must have someone in attendance when fishing.
  5. This is a catch and release event. All fish must be released immediately after measurement / photographs.

Reminders:

  1. Make checks payable to F.H.N.B. and send with Participant Registration Form.
  2. All food, snacks, and soft drinks for both attendant and participant are included in the $10.00 participant fee.
  3. Rods, reels, tackle, and bait will be provided or you may bring your own
  4. Bring sun-block or sun protection
  5. Be prepared for all weather conditions – we fish rain or shine
  6. All participants will receive a hat and tee shirt to take home
  7. Day of Event Phone Number at Cowan Lake: (513) - 379 - 7357
  8. IF SHORE FISHING, PLEASE BRING LAWN CHAIRS OR A BLANKET TO SIT ON

Additional Information:

Contact Lou Haynes @ (513) 777-4854 or Bill Reichert (513) 671-3343 or view our website at

****PARTICIPANT REGISTRATION ****

May 22 – 23, 2010 (No Rain Date)

Cowan Lake State Park

NAME______AGE______WEIGHT ______SEX______

ADDRESS______CITY______

STATE:______ZIP:______PHONE: ( ) ______

EMERGENCY CONTACT (Name/Phone)______

ARE YOU A VETERAN OF MILITARY SERVICE ? (please circle) NO or YES

DISABILITY: (optional)______

WHEELCHAIR? YES_____ NO______(Only Manual Wheelchairs Permitted on Boats)

NAME OF ATTENDANT FOR PARTICIPANT:______

(Participants MUST have Attendant or Companion familiar with the Participant’s needs)

ADDRESS & PHONE OF ATTENDANT:______

______

MEDICAL OR SPECIAL NEEDS:______

a.) Attendant required to have knowledge of participant’s medications for emergency

b.) If you have dietary restrictions, please plan to bring your own food

PREFER TO FISH: _____ SAT (5/22) _____ SUN (5/23) _____BOTH DAYS (Availability Permitting)

PREFER TO FISH FROM: _____ BOAT (Availability Permitting) or _____ SHORE

APRROXIMATE TIME OF ARRIVAL: _____8:00AM _____ 8:30 AM _____9:00 AM _____OTHER

ENTRY FEE: $ 10.00 / Participant (No fee for Attendant) Please make checks payable to: F. H. N. B.

MAIL REGISTRATION AND ENTRY FEE TO: F.H.N.B. (c/o Lou Haynes)

9668 Iris Drive

>->->-> Cincinnati, OH 45241

DEADLINE: May 8, 2010 or when maximum capacity reached. Each participant must register in advance. Applications received after May 8 will be placed on waiting list and are processed in the order received.

No refunds after May 8, 2010.

RELEASE OF CLAIMS:

In acceptance of my participation in the FHNB Fishing Event on May 22 - 23, 2010, I release FHNB, Inc. and the FHNB Greater Cincinnati Chapter, the Cities of Cincinnati and Wilmington, Counties of Clinton and Hamilton, Cowan Lake State Park, all respective agents and employees and all others connected with the Event, from liability or claims for any injury to body or property or illness sustained during my participation in this Event. I understand that this release applies to me, heirs, and anyone in participation with me. I am capable of participating in this Fishing Event for Individuals with Disabilities, recognize that risk of injury may accompany such participation, and acknowledge this release is being relied upon by this FHNB Chapter and FHNB, Inc. in permitting me to participate. I grant full permission to any and all related during the Event to use any photographs, movies, recordings, and other records of this Event without compensation.

If I do not follow all the rules of this Event, I understand that I may be removed from the Event.

______

Signature of Event Participant Date

Entry must be signed by participant or legal guardian