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| (Optional) Need Boater Need Non - Boater Includes $10 late fee. | |||
Please Check 1 of the following: Includes Sat and Sun entry Fees($40) Includes Sat fee only($30) |
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*By completing and signing this tournament entry form you will agree that: I hereby waive and release Internet Buddy Bass Tournament, it's officers, sponsors, all other contestants, and tournament officials from any and all claims from injury and/or damages occurred in connection with this tournament. If I am a boater in the tournament, I hereby acknowledge that I have current boater liability insurance in force during the date(s) of the tournament. I have also read and understand the rules for the Internet Buddy Bass Tournament, and I agree to abide by and adhere to these rules, as well as the rules set forth by the Missouri Department of Conservation and the Missouri State Water Patrol. ------------------------------------------------------------------------------------------------------------------------------------------------------- A. LIABILITY RELEASE: In signing this agreement I hereby release American BassFishing Club Inc. , its officers, directors and sponsors (herein referred to as ABC) from all damages, claims, demands, cost or expenses relating to injury of any person or any property which I may sustain or which I may cause by reason of participating in or in connection with this tournament. I understand that by participating in this tournament that I may cause or sustain injury including but not limited to: loss of life, loss of limb, paralysis, coma, loss of mental functions, loss of sight, loss of speech/smell, dehydration, exposure, hypothermia, frostbite, sun stroke and all other injuries that may be caused by boating or exposure to the elements. I further release ABC for all damages relating to adverse weather conditions while participating in this tournament. It is my responsibility to seek safety should adverse or unforeseen weather conditions should occur prior to , during or after the tournament. B. COVENANT NOT TO SUE AND WAVER OF SUBROGATION: I further agree that I will never sue ABC for damages on account of injury, death or damage I suffer or cause whether known now or which I may develop in the future. In the event ABC are sued because of my actions, I expressly agree to indemnify ABC harmless from any liability whatsoever, including court costs and attorney's fees, arising from the respect of such actions. I understand that in waving my rights to sue ABC I am also waving the right of recovery from ABC of my insurance carrier for any claims that they may pay in my behalf. C. VERIFICATION OF INSURANCE: I maintain a minimum of $100,000 liability insurance that I will use in this tournament. D. POLYGRAPH / VOICE STRESS TEST: Failure to take or pass the polygraph / voice stress test examination will result in disqualification without recourse. E. I SIGNIFY by signing this that I have read all tournament rules and this Liability release and agree to abide by the rules, regulations, releases and tournament officials decisions. |
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Complete, print out and mail to address below with applicable entry fee per boat. Please return your entry fee and form as soon as possible. All applications received after October 18, 2000 will result in an additional $10 fee.
If you are interested in using PayPal to pay e-mail me.
Chuck Campbell, 2319 South Orchard Ave., Bolivar, MO 65613
Make checks payable to
Chuck CampbellMake a copy of rules and this form (after signing) for your records.
*This tournament is in no part affiliated with MIBT or any other Internet Bass Tournament.