INTERNATIONAL WOMEN FLY FISHERS
RENDEZVOUS 2007
Mount Shasta, California
Thursday, June 28 - Sunday, July 1

Please forward the completed form together with your cheque (payable to IWFF) to:

Peggy Brenner
266 N River Road
Milford NH 03055

INTERNATIONAL WOMEN FLY FISHERS RENDEZVOUS 2009
NEW HARTFORD, CONNECTICUT
FRIDAY, 19 JUNE – SUNDAY, 21 JUNE 2009

Name:                                      ______________________________________________________________________

Address:                                  ______________________________________________________________________

Phone:                                     ______________________________________________________________________

Email:                                       ______________________________________________________________________

Club Affiliation:                          ______________________________________________________________________

Dietary Restrictions: ______________________________________________________________________

Emergency Contact Name & Phone:       ______________________________________________________________

I am a beginner ___ intermediate ___ advanced ___ fly fisher.

I am a Current IWFF member (US$ 50) New member of IWFF (US$ 75) [Note: fees are non-refundable]

 WAIVER OF LIABILITY/PHOTOGRAPH RELEASE In consideration of participating in International Women Fly Fishing activities and/or events, I hereby indemnify and hold harmless International Women Fly Fishers, its Officers, Board of Directors, Members and Agents from any and all liability for injury suffered by myself, or my minor children, arising from or connected with club activities and events. I assume all the risk for any injury received and agree to hold the International Women Fly Fishers free and harmless from any and all costs, expenses and attorneys fees incurred in connection with any injury, claim or demand brought thereon. I further agree to be bound by all terms and conditions set forth in the club by-laws and regulations. I further hereby authorize and consent to the use and reproduction by International Women Fly Fishers of photographs taken of me, or my minor children, at the International Women Fly Fishers 2009 New Hartford, Connecticut Rendezvous. Any such photographs may be used in the International Women Fly Fishers newsletter, web site, or any other International Women Fly Fishers publications, promotions or educational materials.

DATED:  __________________________                                             _______________________________________
Signature

Submission of this form and payment of the non-refundable registration fee is required to secure your registration. Any IWFF attendee that is booked at the Pine Meadow Bed and Breakfast is responsible for their room fee which is also non refundable. Room fees must be paid in full to Pine Meadow B&B no later than 15 May 2009. By signing this form you agree to all terms set forth regarding the waiver of liability/photograph release and non refundable registration fee. Registration Deadline: 15 May 2009 or by special arrangement. For more information:

Check out the IWFF website at www.intlwomenflyfishers.org or contact Peggy Brenner at PeggyB@pbandj.us