Boat starting positions determined by date registration is received. Early paid registration - lowest start numbers

Tournament Date: __________Tournament Lake:___________________

TEAM MEMBERS

1. Name_______________________________________________________________

Address_____________________________________________________________

City___________________________________ State_________ Zip___________

Telephone______________________________ SS Number___________________

E-mail__________________________________ Occupation ____________________________

2. Name_______________________________________________________________

Address_____________________________________________________________

City___________________________________ State_________ Zip___________

Telephone______________________________ SS Number___________________

E-mail__________________________________ Occupation ______________________________

1. Liability Release In signing this agreement I hereby release Eastern Bass, Inc. its officers, agents, employees, and sponsors (hereinafter referred to as Eastern Bass, et al) from any and all damages, claims, demands, costs or expensed relating to injury of any persons or any property which I may sustain or which I may cause by reason of participating in or in connection with this tournament.

2. Covenant Not To Sue and Waiver Of Subrogation I further agree that I will never sue Eastern Bass, et al 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 Eastern Bass et al are sued because of my actions, I expressly agree to indemnify and hold Eastern Bass, et al harmless from any liability whatsoever, including court costs and attorney’s fees, arising with respect to such actions. I understand that in waiving my rights to sue Eastern Bass, et al I also am waiving the rights of recovery from Eastern Bass, et al I also am waiving the rights of recovery from Eastern Bass, et al of my insurance carrier for any claims thereby may pay on my behalf.

3. Verification of Liability Insurance I further state that I am a current member of Eastern Bass Classics and that I maintain liability insurance on the boat I will use in this tournament.

4. I signify by my signature below that I have read and understand the agreements numbered 1, 2, 3, above.

Signatures: 1.______________________________ 2. _________________________________

Entry Fee $100.00 per team $_______________

Big Bass Pool (optional) $10.00 per team $_______________

Eastern Bass Membership $20.00 per man $_______________

Total Amount Due $_______________

Make Checks Payable to: Pro Sports 89 Union Brick Road Blairstown, NJ 07825 (908) 459-4180

BOAT STARTING POSITIONS ARE DETERMINED BY DATE ENTRY IS RECIEVED. SEND IN ENTRY FEES FOR AS MANY EVENTS AS YOU WANT. YOUR POSITION WILL CARRY TO EACH EVENT

To fill out form Highlite entire form. Right click mouse and click copy. Open your E Mail and select New Message to send an E Mail. Right Click mouse(inside area you would type a message)and select PASTE. Now you can fill out the Membership form. E Mail it to HMG25@hotmail.com

To Print form to mail. Highlite form and then click file. Select print. Select selection and print.Mail to address on form.