2019 MEMBERS INFORMATION

BOATER

NAME: ________________________________________________                                                    

ADDRESS: _____________________________________________                                                    

CITY: __________________________________________ST. FL  ZIP: _______________________

HOME PHONE: _______________________________CELL PHONE: ______________________

E-MAIL ADDRESS: _____________________________________                                                    

B.A.S.S. # : __________________________________________ EXP: ________________________

SIGN : __________________________________________ DATE: __________________________

NON-BOATER

NAME: ________________________________________________                                                    

ADDRESS: _____________________________________________                                                    

CITY: __________________________________________ST. FL  ZIP: _______________________

HOME PHONE: _______________________________CELL PHONE: ______________________

E-MAIL ADDRESS: _____________________________________                                                    

B.A.S.S. # : __________________________________________ EXP: ________________________

SIGN : __________________________________________ DATE: __________________________

 

Monthly Tournaments $50.00 and Optional $10.00 Big Bass             

                             *Must pay                     Boater                 Non-boater

CLUB DUES:                                      $50.00 ___*           $50.00___*      

National B.A.S.S. Federation Dues    $30.00 ___           $30.00 ___             

Florida B.A.S.S. Federation Dues      $25.00___             $25.00 ___

BOATER           CASH ___ CHECK ___Totalamount:  ________ CHECK # __________

NON-BOATER CASH ___CHECK ___ Total amount:  ________ CHECK # __________

Make Checks Payable to: South Pasco Bassmasters

 

In signing this agreement, I hereby release South Pasco Basssmasters, its officers, agents, employees and sponsorsfrom any and all damages, claims, demands, cost or expenses relating to injuryof any person(s) or any property, which I may sustain or which I may cause byreason of participating in or in connection with any and all South Pasco Bassmasters events.

 

Covenant not to sueand Waiver of Subrogation:   Ifurther agree that I will never sue South PascoBassmasters for damages on account of any injury ordamage I suffer or cause whether known now or which may develop in the future.In the event South Pasco Bassmasters is sued becauseof my actions, I expressly agree to indemnify and hold South Pasco Bassmasters harmless from anyliability whatsoever, including court cost and attorney’s fees, arising withrespect to such actions.  I understandthat in waiving my rights to sue South Pasco Bassmaster,I am also waiving my rights of recovery from South PascoBassmasters of my Insurance carrier for any claimsthey may pay on my behalf. I further understand that by signing this agreementI waive any rights my heirs or relatives have or may have to sue South Pasco Bassmasters forliability.  This Covenant and all it’sconditions will also apply to protect and release a Member Boater from any andall issues with respect to damage or injury a non-boater may sustain or causewhile on the members boat during any and all South Pasco Bassmastersevents including actual tournament day and pre-fishing events.