4-F Bass Club
Tournament Entry And Release Form
Calendar Year 2007
Name: _____________________________ Phone Number:_____________________________________
Address: ______________________________________________________________________________
City: _______________________________________________ State: Texas____ Zip: _______________
Tournament Fee: Due at meeting prior to tournament.
Medical Release
I hereby consent to emergency medical or hospital service that may be rendered by or at accredited hospitals, by appointed physicians, in the event such need arises in the opinion of a duly licensed physician.
Waiver And Indemnity Agreement
Acceptance of my entry in these events for the calendar year 2007 is without responsibility of any kind by the 4-F Bass Club and any other entity sponsoring these events. I do hereby for and on behalf of myself and my heirs and legal representatives RELEASE and forever discharge the 4-F Bass Club , its officers and representatives from any and all claims, demands, and injuries, howsoever arising, whether caused by the negligent or intentional acts of the 4-F Bass Club and its representatives, representatives of other sponsoring entities, or by third parties, which injuries may be in any way related to my activities during the tournaments and any period traveling to or from the events described, and covenant not to sue therefor. The parent or guardian by signing below does hereby agree to indemnify and hold harmless the 4-F Bass Club and its representatives and the sponsoring entity from any liability which they may incur to the entrant, howsoever arising and whether caused by the negligent or intentional acts of the 4-F Bass Club, its representatives, or the sponsoring body. I HAVE READ AND UNDERSTAND THE FOREGOING RELEASE AND INDEMNITY AGREEMENT.
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Entrant or Parent or Guardian if entrant is a minor Date Signed