BOATER
NAME______________________________________DATE OF BIRTH_____________
ADDRESS___________________________________CITY____________ZIP________
PHONE______________________E-MAIL____________________________________

NON-BOATER
NAME______________________________________DATE OF BIRTH_____________
ADDRESS___________________________________CITY____________ZIP________
PHONE______________________E-MAIL____________________________________

ENTRY FEE PAID ________METHOD ______________________________________

BIG BASS ENTRY ________YES  ________NO

BOAT LAUNCH POSITION:_______________
RELEASE OF LIABILITY
   By signing this form, you release South Pasco Bassmasters and all sponsors, officials, organizations, hosts facility and host city from any and all liabilities in any form, for any occurrence whatsoever resulting from your participation in South Pasco Bassmasters Open Tournament. Also you agree to abide by all the rules of the tournament without exception. You agree that you have read and understand the tournament rules completely.
Covenant not to sue and Waiver of Subrogation: I further agree that I will never sue South Pasco Bassmasters 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 that South Pasco Bassmasters is sued because of my actions, I expressly agree to indemnify and hold South Pasco Bassmasters harmless from any liability whatsoever, including, but not limited to, court costs and lawyer fees, arising with respect to such actions. I understand that in waiving my rights to sue South Pasco Bassmasters I am also waiving my rights of recovery from South Pasco Bassmasters of my insurance carrier for any claims they may pay on my behalf. I further understand that by signing this agreement I waive any rights my heirs or relatives have or may have to sue South Pasco Bassmasters for liability.

BOATERS SIGNATURE____________________________DATE_______________

NON-BOATERS SIGNATURE_______________________DATE_______________

NOTE; Make checks payable to: South Pasco Bassmasters

                                               Send to: South Pasco Bassmasters
                                                              3234 Sago Point Court
                                                              Land O Lakes, Florida 34639
                                                     Attn: Michael Blanchard