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Eastern Bass & Semper Fi Marketing
Marines Helping Marines
Charity Tournament
July 11, 2009 Lake Hopatcong - Lee's Park
Tournament Entry Form
TEAM
MEMBERS: Name_______________________________________________________________
Address_____________________________________________________________
City___________________________________ State_________ Zip___________
Telephone___________________________Email____________________________
Name_______________________________________________________________
Address_____________________________________________________________
City___________________________________ State_________ Zip___________
Telephone__________________________Email____________________________
- 1.
Liability Release In signing this agreement I hereby release Eastern Bass, Inc. its officers, agents, employees, and sponsors
(hereinafter referred to as Eastern Bass, et al) from any and all damages, claims, demands, costs or expensed relating to
injury of any persons or any property which I may sustain or which I may cause by reason of participating in or in connection
with this tournament.
- 2. Covenant Not To Sue and Waiver Of Subrogation I further agree that I will never sue Eastern
Bass, et al for damages on account of any injury or damage I suffer or cause whether known now or which may develop in the
future. In the event Eastern Bass et al are sued because of my actions, I expressly agree to indemnify and hold Eastern Bass,
et al harmless from any liability whatsoever, including court costs and attorney's fees, arising with respect to such actions.
I understand that in waiving my rights to sue Eastern Bass, et al I also am waiving the rights of recovery from Eastern Bass,
et al I also am waiving the rights of recovery from Eastern Bass, et al of my insurance carrier for any claims thereby may
pay on my behalf.
- 3. Verification of Liability Insurance I further state that I am a current member of Eastern Bass
Classics and that I maintain liability insurance on the boat I will use in this tournament.
4.
I signify by my signature below that I have read and understand the agreements numbered 1, 2, 3, above.
Signatures:
Angler 1. ________________________________
Angler 2. _________________________________
Entry Fee $200.00 per team $_______________
Big Bass Pool (optional) $10.00 per team $_______________
Total
Amount Due $_______________
Make Checks Payable to: Pro Sports 291 Eyland Ave. Succasunna, N.J. 07876 (973) 479 - 4708
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