STATE OF
CALIFORNIA-THE RESOURCES AGENCY GRAY DAVIS, Governor
DEPARTMENT OF FISH AND GAME
Marine Region
330 Golden Shore, Suite 50
Long Beach, CA 90802
(562) 590-4801
CALIFORNIA PELAGIC SHARK TAGGING PROGRAM
APPLICATION
Name ____________________________________________ Age _________
Home Address __________________________________________________
_______________________________________________________________
(City) (State) (Zip)
Home Phone ___________________ Work Phone ____________________
Fishing Club Affiliations _____________________________________
Do you own a Boat? YES NO
Boat Name _______________________________________ Length ______
How many days per year do you fish for shark? 1-5 6-12 13-50
In what general area do you fish?______________________________
Briefly describe your most common fishing technique (i.e. trolling,
chumming, etc.)
________________________________________________________________
________________________________________________________________
List the names of open water sharks you normally catch and can identify
on sight:
________________________________________________________________
________________________________________________________________
Would you be willing to take along a Department of Fish and Game
employee for observation? (optional) YES NO
BE SURE TO SIGN WAIVER ON THE BACK OF THIS FORM
_________________________________________________________________
(For Department use only)
Approve _________________ Tags issued: SH_________ to SH________
NOTE: PARTICIPATION IN THE SHARK TAGGING PROGRAM IS STRICTLY VOLUNTARY.
DEPARTMENT OF FISH AND GAME SHARK TAGS ARE NOT TO BE USED FOR PROFIT. PROFIT INCLUDES
CHARGING OTHERS FOR USE OF TAGS, USE OF THE TAGGING PROGRAMS NAME IN ADVERTISING, OR
CLAIMING TO REPRESENT THE DEPARTMENT FOR THE BENEFIT OF A BUSINESS. THE ISSUING OF SHARK
TAGS DOES NOT CONSTITUTE AN ENDORSEMENT OF ANY BUSINESS THAT MAY TAG SHARKS IN THEIR
OPERATIONS. TAGS ISSUED ARE NOT TO BE TRANSFERRED; THEY MUST BE USED BY THE PERMITTEE THEY
ARE ISSUED TO OR ON THE VESSEL UTILIZED BY THAT PERMITTEE.
WAIVER AND RELEASE
Applicant, upon acceptance of tags for the participation in the
California Pelagic Shark Tagging Program, understands and agrees that any tagging effort
is strictly voluntary and do hereby on behalf of myself, my heirs, executors,
administrators and assigns, waive, release, remise and forever discharge the State of
California, Department of Fish and Game, their officers, agents and employees, from any
and all claims and demands of any kind, nature or character, whatsoever, by reason of my
participation in the California Pelagic Shark Tagging Program.
This release is expressly intended to cover and include all claims,
several or otherwise, past, present or future, which can or may ever be asserted as the
result of injuries or damages sustained by me while participating in said program.
Signature____________________________________________________Date______________
Applicant
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