Bass Cast Tournament Trail Registration

Bass Cast Tournament Trail Registration
*Each angler must complete this form, even if not paying a fee.*
Name*

First NameLast Name
Email*
example@example.com
Cell Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address 2

CityState / Province

Postal / Zip Code
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
I am a:*

BoaterNon-Boater
List the name of your PRIMARY teammate first, followed by up to 3 alternates. If you will fish alone, enter NONE.*
RELEASE OF LIABILITY

In consideration of being allowed to participate in the Bass Cast Tournament program, its related events and activities, I acknowledge and agree that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISK, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the tournament director immediately; and,

4. I, for myself and on the behalf of my heirs assigns personal representatives and next of
kin, HERBY RELEASE, INDEMNIFY, AND HOLD HARMLESS TheBassCast.com, their officers, officials, agents and/or employees, other, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessor of premises used for the activity (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
Signature*

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Date signed*

MonthDayYear
Date
Fee Payment
Categories:All

All

Annual Registration Fees

Tournament Entry Fees
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Annual Registration Fees

Registration Fee for myself
$25.00 Quantity



Registration Fee for someone elseEnter name of angler at bottom of this page
$25.00 Quantity



Tournament Entry Fees

March 8 Tournament Fee
$105.00 Quantity



April 19 Tournament Fee
$105.00 Quantity



May 31 Tournament Fee
$105.00 Quantity



October 18 Tournament Fee
$105.00 Quantity



November 15 Tournament Fee
$105.00 Quantity



November 29 Tournament Fee
$105.00 Quantity



December 13 Tournament Fee
$105.00 Quantity



Total

$0.00
If paying a registration for another angler, enter their name below:

Payment Methods

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