Walleye U Registration Form_Sioux City

Johnnie Candle’s
EACH PERSON IN ATTENDANCE
WILL RECEIVE A $20 GIFT CARD
FROM SCHEELS.
SUNDAY, MARCH 20
9:00AM - 4:00PM
MARINA INN HOTEL • 385 E 4TH ST • SOUTH SIOUX CITY, NE
During this one day event you will discover fish catching patterns, cutting edge techniques, how to
better understand your marine electronics, and find out what’s new in walleye gear. Don’t forget to
bring your questions for the panel discussion led by Johnnie and a SCHEELS Expert.
JOHNNIE CANDLE’S WALLEYE UNIVERSITY
PAYMENT SUMMARY:
COMPLETE THIS ENTRY FORM TO REGISTER:
First Name:_______________________________ Last Name:___________________________________
Address:______________________________________________________________________________
City:_______________________________________ State:_____________ Postal Code:______________
Telephone:_________________________________ Email: *________________________________________
Special Requests:_______________________________________________________________________________
Waiver: In consideration of the acceptance of this entry for the Johnnie Candle Walleye University, I hereby, for myself and for my heirs,
executors and administrators, waive any and all rights, claims and damages I may have against SCHEELS, the sponsors, Johnnie Candle,
coordination groups and any individuals associated with Johnnie Candle Walleye University. Also, none of the above is responsible for
neither the loss of personal items nor any aggravation in connection with said event. I also give permission for the free use of my name
and picture in any broadcast, telecast or print media event. In filling out this form, I acknowledge I have read and fully understand my own
liability and do accept the restrictions.
Signature of Participant:___________________________________________________________
Date: ________________________
Signature of Parent or Guardian if under 18: __________________________________________
Date: _________________________
* We respect your privacy. SCHEELS will never share your personal information with an outside source. The e-mail address
will only be used to send notices of SCHEELS sales events and promotions.
Seminar Fee: $ 50
Total Payment:____________________
CHECK-IN WILL BEGIN AT
8:30AM ON MARCH 20
DROP OFF AT CUSTOMER
SERVICE OR MAIL THIS FORM
AND PAYMENT TO:
SIOUX CITY SCHEELS
Attn: Events - Walleye University
4400 Sergeant Rd, #54
Sioux City, IA 51106
EVENTS PRESENTS