Print application for the contest in which you would like to participate, then send it and your payment to:

Gaston Memorial Scholarship Fund

c/o Amy Gaston Stehr

10261 Hickory Ridge Drive

Zionsville, IN 46077

Walleye Tournament Application

Team Event (2 participants)

$150 per boat

First team member:

Name: _________________________________________

Address: _______________________________________

City, State, Zip:________________________________

Phone: _________________________________________

I have read, understand, and accept the release of liability below (please intial) ______________

Second team member:

Name: _________________________________________

Address: ______________________________________

City, State, Zip: _______________________________

Phone: _________________________________________

I have read, understand, and accept the release of liability below (please intial) ______________

Release of liability: I acknowledge that I am VOLUNTARILY participating in the Gaston Memorial Walleye Tournament and Catfish Contest. I am aware that my participation in the tournament listed creates risk of my serious personal injury or death. My participation could also lead to damage of my personal property. I expressly agree to assume risk of injury or death, and loss or damage to personal property, which may result from fisihing said tournament. In exchange for participation in the Gaston Memorial Walleye Tournament and Catfish Contest, I hereby RELEASE AND DISCHARGE the Richard T. Gaston Memorial Fund, its officials, directors, promoters, tournament official sponsors, and organizations assisting in the tournament operations, their agencies, etc., and they are not responsible for death, injury, liability, theft, fire, damage, or loss of any kind ot the entrants.

Catfish Contest Application

Individual Event(boat or shore)

$25 per angler 

First angler:

Name: _________________________________________

Address: _______________________________________

City, State, Zip:________________________________

Phone: _________________________________________

I have read, understand, and accept the release of liability below (please intial) ______________

Second angler:

Name: _________________________________________

Address: ______________________________________

City, State, Zip: _______________________________

Phone: _________________________________________

I have read, understand, and accept the release of liability below (please intial) ______________

Release of liability: I acknowledge that I am VOLUNTARILY participating in the Gaston Memorial Walleye Tournament and Catfish Contest. I am aware that my participation in the tournament listed creates risk of my serious personal injury or death. My participation could also lead to damage of my personal property. I expressly agree to assume risk of injury or death, and loss or damage to personal property, which may result from fisihing said tournament. In exchange for participation in the Gaston Memorial Walleye Tournament and Catfish Contest, I hereby RELEASE AND DISCHARGE the Richard T. Gaston Memorial Fund, its officials, directors, promoters, tournament official sponsors, and organizations assisting in the tournament operations, their agencies, etc., and they are not responsible for death, injury, liability, theft, fire, damage, or loss of any kind ot the entrants.