OFFICIAL ENTRY
FORM
CAMP CONFIDENCE MIDWEST INVITATIONAL
PRO TEAM BASS TOURNAMENT
WHITEFISH & GULL LAKE
PRO TEAM ENTRY FEE: $ 525
NAME___________________________ NAME_________________________
Address_______________________________ Address_______________________________
City_______________State____Zip________ City_________________State_____Zip_____
Phone (H)_______________(W)___________ Phone (H)________________(W)__________
Social Security #_____________________ ___ Social Security #_______________________
Birth Date_____________________________ Birth Date_____________________________
Enclosed payment: ______$200 deposit. _______$ 525 full payment.
Check #__________
VISA/MASTERCARD # 1___________________________EXP DATE:___________
Check #__________VISA/MASTERCARD # 2____________________________EXP DATE:___________
Team Captain Signature:_______________________Partner Signature:____________________________
Boat Model__________Color_________Motor HP___________Brand__________
*Rules in conjunction with
Extreme Bass
tournaments. Official tournament
rules sent on request.
*There are no ‘off-limits’ days. Prefishing ends at 12:00 noon on Thursday,
June 19, 2008.
PARTICIPANT
AGREEMENT, RELEASE, AND ACKNOWLEDGMENT OF RISK In consideration of the 2008 CAMP
CONFIDENCE Midwest Pro Team Bass tournament’s allowing me to participate in
this tournament , I acknowledge and agree as follows:
1. I have read and understand the description of
the tournament and the official rules of this tournament. I will obey all rules and understand any
violation may result in immediate disqualification without refund of my entry
fee. I also understand tournament officials may reject my application for any
reason and in that event will refund my entry fee.
2. I understand and acknowledge that competitive
fishing is a dangerous sport , the risks of which include, though not
exclusively , drowning, collisions, and injuries from hooks and other fishing
paraphernalia. I voluntarily assume
responsibility for these risks, identified and not identified, and all risks of
injury or death or damage to myself or my property or to others, including
spectators and their property, arising from my participation in the tournament.
3. I hereby release, discharge, and agree to
hold harmless and indemnify the 2008 MIDWEST INVITATIONAL PRO TEAM BASS TOURNAMENT,
it shareholders, officers, directors, agents and employees, the host, sponsors,
and tournament officials and all other persons or entities associated with the
tournament from any and all liability claims, demands, actions or rights of my
participation in this tournament, including but not limited to the negligent
acts of omissions of the 2008 MIDWEST
INVITATIONAL PRO TEAM BASS TOURNAMENT, its shareholders, officials, partners,
agents or employees, the host sponsors and tournament officials and all persons
associated with the tournament. In
signing this document, I acknowledge and agree that if anyone is hurt or
property is damaged while I am engaged in this event, I will have no right to make claim or file a
lawsuit against the 2008 MIDWEST INVITATIONAL PRO TEAM BASS TOURNAMENT, it’s
shareholders, officers, directors, agents or employees, the host, sponsors,
officials or all other persons associated with the tournament, even if they or
any of them negligently caused bodily injury or property damage.
4. I agree to pay the reasonable costs and
attorneys fees thereby expended, or for which liability is incurred for any suit brought by me against the 2008 MIDWEST INVITATIONAL PRO
TEAM BASS TOURNAMENT, as a result of my participation in this tournament,
should it become necessary for 2008 MIDWEST INVITATIONAL PRO TEAM BASS
TOURNAMENT, or someone on its behalf, to incur attorney fees and costs to
enforce this agreement, or any portion thereof.
5. I have sufficient health, accident and
liability insurance to cover bodily injury or property damage incurred by
myself or others as a result of my participation in this event. If I have no such insurance, I represent that
I am capable of paying for any and all such expenses or liability.
6. I have no past or present medical or
psychological condition that might
affect my participate in the tournament in such a way as to cause harm to
myself or others.
7. I give the 2008 MIDWEST INVITATIONAL PRO TEAM BASS TOURNAMENT, my permission to use my name and photograph for promotional purposes. I agree to submit and accept the results of the polygraph test which may be given at the conclusion of the tournament.
My signature
above reflects that I have read this entire document, understand it completely,
understand it affects my legal rights,
and agree to be bound to its terms.
References to “I” , “my”, “myself”, and other first person
references shall include any child or
ward for whom I sign.
PRINT OUT THIS FORM AND MAIL TO:
MIDWEST
INVITATIONAL PRO TEAM BASS TOURNAMENT
STEVE
SOUKUP – SKEETER RGL SLS MGR
5720
WINKER LN
PRIOR
LAKE, MN 55372
TELE
#: 952-447-4338. CELL#: 612-850-7144 FAX #:
952-440-4911
EMAIL: steve_soukup@yamaha-motor.com
