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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal style='background:white'><span style='font-family:"Tahoma","sans-serif";color:black'><o:p> </o:p></span></p><p class=MsoNormal style='background:white'><span style='font-family:"Tahoma","sans-serif";color:black'><o:p> </o:p></span></p><p class=MsoNormal style='line-height:140%'><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'>The 2014 Connecticut Senior Visually Impaired Fishing Tournament will be held on Sunday April 27th at Sage Pond at Sage Park in Berlin. <o:p></o:p></span></p><p class=MsoNormal style='line-height:140%'><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'>Registration and light breakfast from eight until nine o'clock.<o:p></o:p></span></p><p class=MsoNormal style='line-height:140%'><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'>Fishing from nine until noon.<o:p></o:p></span></p><p class=MsoNormal style='line-height:140%'><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'>Awards and lunch begin at noon.<o:p></o:p></span></p><p class=MsoNormal style='line-height:140%'><span style='font-size:18.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'>The deadline to register for the 2014 Tournament is this Saturday, April 12th.</span><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p><p class=MsoNormal style='line-height:140%'><span style='font-size:18.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'>Applications are below. </span><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p><p class=MsoNormal style='line-height:140%'><span style='font-size:18.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'>If you need more information or help with your application please don't hesitate to contact us.</span><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p><p class=MsoNormal style='line-height:140%;background:white'><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'>We look forward to seeing all of our old friends and meeting new ones too.</span><span style='font-size:12.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p><p class=MsoNormal style='line-height:140%;background:white'><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'>Lori and Charley</span><span style='font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p><p class=MsoNormal style='line-height:140%;background:white'><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'>CT VIP Fishing Tournaments</span><span style='font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p><p class=MsoNormal style='line-height:140%;background:white'><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'>Email </span><a href="mailto:satkowski@sbcglobal.net" target="_blank"><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif"'>satkowski@sbcglobal.net</span></a><span style='font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p><p class=MsoNormal style='line-height:140%;background:white'><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'>Home telephone evenings 860-828-1427</span><span style='font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p><p class=MsoNormal style='line-height:140%;background:white'><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'>Lori at work during the day 860-828-3579 Ext. 304</span><span style='font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p><p class=MsoNormal style='line-height:140%;background:white'><span style='font-size:16.0pt;line-height:140%;font-family:"Tahoma","sans-serif";color:black'>Lori cell 860-250-4663</span><span style='font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p><p class=MsoNormal><img border=0 width=151 height=119 id="Picture_x0020_1" src="cid:image001.png@01CF531E.E1950DC0"><a name="_GoBack"></a><span style='font-family:"Times New Roman","serif"'><o:p></o:p></span></p><p class=MsoNoSpacing align=center style='text-align:center'><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Sixth Annual <o:p></o:p></span></b></p><p class=MsoNoSpacing align=center style='text-align:center'><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Connecticut <i><u>SENIOR</u></i> VIP Fishing Tournament<o:p></o:p></span></b></p><p class=MsoNoSpacing align=center style='text-align:center'><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing align=center style='text-align:center'><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Date: Sunday, April 27, 2014 (See schedule below)<o:p></o:p></span></b></p><p class=MsoNoSpacing align=center style='text-align:center'><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Sage Park Pond, Berlin Connecticut<o:p></o:p></span></b></p><p class=MsoNoSpacing align=center style='text-align:center'><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing align=center style='text-align:center'><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Tournament Participant/Guide/Volunteer Application<o:p></o:p></span></b></p><p class=MsoNoSpacing align=center style='text-align:center'><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Each VIP will be allowed one sighted companion for assistance during the event. ALL attendees are required to complete this form. VIP participants will be accepted on a first come, first serve basis as we are limited to 40 participants for this event. Please complete and return this application <u>BEFORE</u> Saturday, April 12, 2014.<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing align=center style='text-align:center'><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>_____VIP _____ Sighted Guide _____ Volunteer<o:p></o:p></span></b></p><p class=MsoNoSpacing align=center style='text-align:center'><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>First Name____________________ Last Name_____________________<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Street_______________________________________________________<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>PO Box_____________________________________________________<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>City__________________________________State______Zip_________<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Home Phone________________________Cell______________________<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Email Address:_______________________________________________<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Date of Birth_________________Sex ____M____F<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Are you a Lion member? _____YES _____ NO <o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>If YES, which club are you a member of?__________________________<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Please specify:<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>____Sighted ____Totally Blind ____Partially Sighted ____Newly Blind<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Do you have a preferred “companion” to assist you during the event? <o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>___ YES ___ NO<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Companion’s name:__________________________________________ <o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Do you use a wheelchair, walker or seeing eye dog? ___ YES ___ NO<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Do you have special equipment or dietary needs? ___ YES ____NO <o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>If so, please explain___________________________________________<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>List any medical problems and/or medications taken on a regular basis ____________________________________________________________<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>____________________________________________________________<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Name of Emergency Contact: _________________________________Phone:_____________________<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Please return this completed application to Lion Charley Satkowski <u>BEFORE</u> Saturday, April 12, 2014. Email to </span></b><a href="mailto:satkowski@sbcglobal.net"><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>satkowski@sbcglobal.net</span></b></a><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Charley Satkowski<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>222 Toll Gate Road<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Berlin CT 06037-3610<o:p></o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></b></p><p class=MsoNoSpacing><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>If you have questions, or need additional information, contact Lori or Charley @ (860) 828-1427 or Lori’s cell: (860) 250-4663 <o:p></o:p></span></b></p><div style='mso-element:para-border-div;border:none;border-bottom:solid #4F81BD 1.0pt;padding:0in 0in 4.0pt 0in'><p class=MsoTitleCxSpFirst><b><u><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'><o:p><span style='text-decoration:none'> </span></o:p></span></u></b></p><p class=MsoTitleCxSpMiddle><b><u><span style='font-size:16.0pt;font-family:"Arial","sans-serif";color:black'>SCHEDULE</span></u></b><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif";color:black'>:<br>Registration and Breakfast (8:00am to 9:00am)<o:p></o:p></span></b></p><p class=MsoTitleCxSpMiddle><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif";color:black'>Fishing (9:00am to 12:00 noon)<o:p></o:p></span></b></p><p class=MsoTitleCxSpLast><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif";color:black'>Lunch (12:00 noon)<u><o:p></o:p></u></span></b></p></div><p class=MsoNormal><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Directions to Sage Park:<o:p></o:p></span></b></p><p class=MsoNormal><b><u><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Using 1-91 (North or South)<br></span></u></b><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Take I-91 to Exit 22 North (Route 9). Travel approximately 3 miles on Rt. 9 to Exit 22 off Rt. 9 and proceed to end of ramp. Turn right. Proceed 50 yds. to next light and turn right onto Worthington Ridge. Proceed straight through next light (center lane) on Worthinton Ridge. Continue to end of Worthington Ridge (approximatley 1-1/2 miles). At light at end of Worthington Ridge take left and go north on route 15 (Berlin Turnpike). Take right at sign for Sage Park.<o:p></o:p></span></b></p><p class=MsoNormal><b><u><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Using I-84 (East for West)<br></span></u></b><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Take I-84 to Rte 72 Exit for New Britain. Continue on Route 72 East through New Britain. (Route 72 becomes Route 9 South). Take exit 22 off Route 9- proceed to end of ramp. Turn right. Proceed 50 yards to next light and turn right onto Worthington Ridge. Proceed straight through next light (center lane) on Worthington Ridge. Continue to end of Worthington Ridge (approximately 1-1/2 miles). At light at end of Worthington Ridge take left and go north on route 15 (Berlin Turnpike). Take right at sign for Sage Park.<o:p></o:p></span></b></p><p class=MsoNormal><b><u><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Route 15 from Hartford:<br></span></u></b><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Follow Route 15 and enter Berlin. Pass Mickey Finns and continue for several miles. Take left to northbound lane of Rte. 15 at third light after Mickey Finns. (intersection of Worthington Ridge with Rte. 15). (Fire house across street on left). Go North on Rte. 15 for 1/4 mile and take right at sign for Sage Park.<o:p></o:p></span></b></p><p class=MsoNormal><b><u><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>Route 15 from New Haven:<br></span></u></b><b><span style='font-size:16.0pt;font-family:"Arial","sans-serif"'>At Meriden Rte. 91/15 intersection take Exit 17 to Berlin.<br>Follow Rte. 15 north into Berlin.<br>Pass fire station on right at light.<br>Continue on Rte. 15 for approximately 1/4 mile and take right at sign to Sage Park.<o:p></o:p></span></b></p><p class=MsoNormal style='margin-bottom:12.0pt;background:white'><span style='font-size:12.0pt;font-family:"Tahoma","sans-serif";color:black'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Times New Roman","serif"'><o:p> </o:p></span></p><p class=MsoNormal><o:p> </o:p></p></div></body></html>