Re: Bassin' Bandits Membership


[ Follow Ups ] [ Post Followup ] [ Tournament Bulletin Board ] [ FAQ ]

Posted by LARRY McNEIL from 131.193.58.108 on July 12, 2000 at 19:04:51:

In Reply to: Bassin' Bandits Membership posted by Edward D. Bohn on March 18, 2000 at 11:07:03:

: 2000
: BASSIN’ BANDITS MEMBERSHIP
: REGISTRATION FORM
: ANNUAL DUES $ 50.00

: Please print clearly

: NAME_LARRY McNEIL 12,5,61 38
_______________________________________________D.O.B.________AGE__________

: ADDRESS_3445 south Rhodes #402 Chicago,
_____________________________________________CITY_______________________

: STATE_IL _____ ZIP CODE_60616___________ PHONE_312-328-0460______________ WORK_312-996-6386
_________________

: B.A.S.S. MEMBERSHIP #_NOT A MEMBER YET__________________SOCIAL SECURITY #______-_____-________

: BOAT BRAND_NO BOAT
____________________MOLDEL__________________YEAR________________

: U.S. COAST GUARD H.P. RATING__________MOTOR BRAND________________ H.P._____

:
: Membership includes membership to National B.A.S.S. Federation, Illinois Bass Federation, Bassin’ Bandits, subscriptions to: Bass Times, Midwest Outdoors, $9,500 of A.D.&D. insurance National B.A.S.S. Federation covers tournaments with 1 million dollars of liability insurance.

: PARTICIPANT RELEASE OF LIABILITY READ BEFORE SIGNING In consideration of being to participate in any way in the Bassin’ Bandits program, related events and activities of fishing for 2000 I,____________________________________ the undersigned, acknowledge, appreciate 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 rules, 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, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES 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 nearest official immediately; and,
: 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Bassin’Bandits. Its officers, officials, agents and /or employees, and other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT AND THE ATTACHED RULES, FULLY UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT

: ______________________________________________________ DATE SIGNED: ____________________
: PARTICIPANTS SIGNATURE
: Payment is due by December 15, 1999 or a $10.00 dollar late fee well be charged unless you are a first time member.
: PLEASE MAKE CHECKS PAYABLE TO: BASSIN’ BANDITS

: MAIL TO: BASSIN’ BANDITS
: C/O ED BOHN
: 5240 W. 120TH St.
: ALSIP, IL 60803




Follow Ups:



Post a Followup

Name:
E-Mail:
Subject:
Message:
Link URL:
Link Title:
Image URL:


[ Follow Ups ] [ Post Followup ] [ Tournament Bulletin Board ] [ FAQ ]