Post by Stratos is 1 on May 1, 2006 14:36:07 GMT -5
The Illinois Bass Federation is hoating youth tournamnets at Springfield lake. Open to all youth.
Contact: Gary Montgomery
youth director, Il. Bass fed.
backlash197@cs.com
BOATER:_________________________________________________________
CLUB NAME:___________________________ T-Shirt Size_______
ADDRESS:________________________________________________________
CITY:_____________________________________________ZIP CODE:________
PHONE#______-______-______
#1 YOUTH:_______________________________________ Age:_______
CLUB NAME:___________________________ T-Shirt Size_______
ADDRESS:________________________________________________________
CITY:_____________________________________________ZIP CODE:________
PHONE#______-______-______ SOCIAL SECURITY#______-_____-_______
EMERGENCY CONTACT: NAME:__________________PHONE#:_____-_____-_______
#2 YOUTH:______________________________________ Age:_______
CLUB NAME:___________________________ T-Shirt Size_______
ADDRESS:________________________________________________________
CITY:_____________________________________________ZIP CODE:________
PHONE#______-______-______ SOCIAL SECURITY#______-_____-_______
EMERGENCY CONTACT: NAME:__________________PHONE#:_____-_____-_______
HAVING READ THE RULES OF THE TOURNAMENT, I HAVE SUBMITTED THIS WAIVER FORM AS AN ENTRY FOR MYSELF AND/OR MY DESIGNATED DRIVER, AND MY BOAT TO BE USED IN THE ILLINOIS BASS FEDERATION JUNIOR CHAPTER INVITATIONAL.
I UNDERSTAND THAT I AM RESPONSIBLE FOR ALL THE COSTS OF OPERATING MY AUTOMOBILE, THE BOAT AND MOTOR (S). I/WE ASSUME ALL RISKS ASSOCIATED WITH THE TOURNAMENT, INCLUDING THE SAFETY OF THE YOUTH PASSENGERS, AND I/WE HEREBY RELEASE THE ILLINOIS BASS FEDERATION, THE HOST, SPONSORS AND TOURNAMENT OFFICIALS FROM ALL CLAIMS OR INJURY AND/OR DAMAGE, INCURRED IN CONNECTION WITH THIS TOURNAMENT.
I/WE HEREBY GRANT THE ILLINOIS BASS FEDERATION, THE HOST, AND SPONSORS VIDEO/AUDIO PRODUCTION AND/OR ARTICLES AND PRESS RELEASES. AND I/WE SHALL NOT BE ENTITLED TO RECEIVE ANY ROYALTIES OR OTHER COMPENSATION IN CONNECTION WITH SUCH USE.
I/WE FURTHER AGREE AND UNDERSTAND THAT THE ILLINOIS BASS FEDERATION PRESIDENT OR YOUTH COMMITTEE RESERVES THE RIGHT TO REJECT MY/OUR WAIVER FORM FOR ANY REASON.
BOATCAPTAIN'S SIGNATURE:___________________________________ DATE:___________
#1 YOUTH COMPETITOR SIGNATURE:____________________________ DATE:____________
#2 YOUTH COMPETITOR SIGNATURE:____________________________ DATE:____________
CONSENT FORM(S)
As parent of legal guardian, I hereby give approval for____________________________________(YOUTH #1 NAME)to participate in the Youth Tournament sponsored by the IL Department of Natural Resources and the Illinois Bass Federation on Lake Springfield, in Springfield, IL. In signing this consent form, I hereby waive and release all contestants, sponsors, and tournament officials from all claims, injury, or damage incurred in connection with this tournamentPARENT/GUARDIAN SIGNATURE ___________________________________ DATE ____________
PLEASE INCLUDE INSURANCE COPY WITH THIS FORM
Contact: Gary Montgomery
youth director, Il. Bass fed.
backlash197@cs.com
BOATER:_________________________________________________________
CLUB NAME:___________________________ T-Shirt Size_______
ADDRESS:________________________________________________________
CITY:_____________________________________________ZIP CODE:________
PHONE#______-______-______
#1 YOUTH:_______________________________________ Age:_______
CLUB NAME:___________________________ T-Shirt Size_______
ADDRESS:________________________________________________________
CITY:_____________________________________________ZIP CODE:________
PHONE#______-______-______ SOCIAL SECURITY#______-_____-_______
EMERGENCY CONTACT: NAME:__________________PHONE#:_____-_____-_______
#2 YOUTH:______________________________________ Age:_______
CLUB NAME:___________________________ T-Shirt Size_______
ADDRESS:________________________________________________________
CITY:_____________________________________________ZIP CODE:________
PHONE#______-______-______ SOCIAL SECURITY#______-_____-_______
EMERGENCY CONTACT: NAME:__________________PHONE#:_____-_____-_______
HAVING READ THE RULES OF THE TOURNAMENT, I HAVE SUBMITTED THIS WAIVER FORM AS AN ENTRY FOR MYSELF AND/OR MY DESIGNATED DRIVER, AND MY BOAT TO BE USED IN THE ILLINOIS BASS FEDERATION JUNIOR CHAPTER INVITATIONAL.
I UNDERSTAND THAT I AM RESPONSIBLE FOR ALL THE COSTS OF OPERATING MY AUTOMOBILE, THE BOAT AND MOTOR (S). I/WE ASSUME ALL RISKS ASSOCIATED WITH THE TOURNAMENT, INCLUDING THE SAFETY OF THE YOUTH PASSENGERS, AND I/WE HEREBY RELEASE THE ILLINOIS BASS FEDERATION, THE HOST, SPONSORS AND TOURNAMENT OFFICIALS FROM ALL CLAIMS OR INJURY AND/OR DAMAGE, INCURRED IN CONNECTION WITH THIS TOURNAMENT.
I/WE HEREBY GRANT THE ILLINOIS BASS FEDERATION, THE HOST, AND SPONSORS VIDEO/AUDIO PRODUCTION AND/OR ARTICLES AND PRESS RELEASES. AND I/WE SHALL NOT BE ENTITLED TO RECEIVE ANY ROYALTIES OR OTHER COMPENSATION IN CONNECTION WITH SUCH USE.
I/WE FURTHER AGREE AND UNDERSTAND THAT THE ILLINOIS BASS FEDERATION PRESIDENT OR YOUTH COMMITTEE RESERVES THE RIGHT TO REJECT MY/OUR WAIVER FORM FOR ANY REASON.
BOATCAPTAIN'S SIGNATURE:___________________________________ DATE:___________
#1 YOUTH COMPETITOR SIGNATURE:____________________________ DATE:____________
#2 YOUTH COMPETITOR SIGNATURE:____________________________ DATE:____________
CONSENT FORM(S)
As parent of legal guardian, I hereby give approval for____________________________________(YOUTH #1 NAME)to participate in the Youth Tournament sponsored by the IL Department of Natural Resources and the Illinois Bass Federation on Lake Springfield, in Springfield, IL. In signing this consent form, I hereby waive and release all contestants, sponsors, and tournament officials from all claims, injury, or damage incurred in connection with this tournamentPARENT/GUARDIAN SIGNATURE ___________________________________ DATE ____________
PLEASE INCLUDE INSURANCE COPY WITH THIS FORM