SENIOR BASS ANGLERS 2008 Entry Form BOAT CAPTAIN:_____________________________________________________ ADDRESS:__________________________________________________________ CITY:__________________________________ STATE:______ ZIP:____________ SOCIAL SECURITY#:________________________ EMAIL:__________________________ HOME PHONE: (_____)__________________  CELL:(_____)_________________ BOAT  USED:___________________________________________   YR:_______  MAKE OF MOTOR:____________________________________   HP:__________ HP BOAT RATING: _________ TROLLING MOTOR: ________________________ Company Name, Policy # or Agent Binding Coverage on boat to be used in Tournament (see Rule #17) INSURANCE COMPANY:______________________________________________ POLICY#: __________________________ AGENT:_________________________ TOW VEHICLE:_______________ MODEL: _________________  YEAR:_______ PARTNER NAME:_____________________________________________________________  ADDRESS:__________________________________________________________ CITY:_________________________________ STATE:______ ZIP:____________  SOCIAL SECURITY#:_____________________________EMAIL:______________________ HOME PHONE:(_____)_______________  CELL:(_____)______________ PROOF OF AGE:  Copy of valid drivers license or other form of identification must accompany this form. PER TOURNAMENT ENTRY FEE:  $125.00 PER BOAT (Big Fish Pot of $10 per person collected at check-in.) FIRST TOURNAMENT ENTRY FEE - $125.00, PLUS FIVE ADDITIONAL TOURNAMENT DEPOSIT OF ONE-HALF ENTRY FEE ($62.50 EACH TOURNAMENT) REQUIRED:   Priest, Guntersville, Old Hickory, Kentucky Lake, Lake Barkley, and Old Hickory.  The remaining balance of the Tournament Entry Fee will be due on or before the Monday prior to each of the tournaments on Friday.  A $20 late fee will be assessed if not received by that date. CALCULATION:  $25 per person ($50 team) Membership + $125 First Tournament Entry Fee + One-half Entry Fee Deposit ($62.50 per tournament x 5) $312.50 For Remaining 5 Tournaments. TOTAL:  $462.50 Individual or $487.50 Team  PARTICIPANT WAIVER RELEASE OF LIABILITY -  READ BEFORE SIGNING As a condition and in consideration of being allowed to participate in the SBA Tournament(s) and all activities surrounding this fishing tournament for 2007, (PLEASE PRINT) l,__________________________________________________,  Boat Owner, and l,__________________________________________________________, Partner, do hereby acknowledge and agree as follows: The undersigned acknowledge that there is a significant risk of injury from the activities involved in the Tournament(s) including the potential for permanent injury and death. The undersigned agree that they are knowingly and freely assuming all risks of participation in the Tournament(s) and assume full responsibility for their participation in the Tournament(s).  THE UNDERSIGNED BY AND FOR THEMSELVES AND THEIR HEIRS, PERSONAL REPRESENTATIVES, AND NEXT OF KIN DO HEREBY RELEASE FROM ANY AND ALL LIABILITY SBA, ITS OFFICERS, OFFICIALS, EMPLOYEES, AND ALL OTHER PARTICIPANTS IN THE TOURNAMENT(S), ALL SPONSORING AGENCIES, SPONSORS, ADVERTISERS, AND, IF APPLICABLE, THE OWNERS AND LESSORS OF THE PREMISES USED TO CONDUCT THE TOURNAMENT(S) (COLLECTIVELY THE "RELEASEES"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, LOSS OR DAMAGE TO PERSONAL PROPERTY INCURRED BY THE UNDERSIGNED AS A RESULT OF PARTICIPATION IN THE TOURNAMENT(S) WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. FURTHER, THE UNDERSIGNED AGREES TO HOLD HARMLESS AND INDEMNIFY ALL RELEASEES FROM ANY AND ALL LOSS, COST DAMAGE OR EXPENSE INCLUDING REASONABLE ATTORNEY'S FEES ARISING OUT OF THE UNDERSIGNED'S PARTICIPATION IN THE TOURNAMENT(S). The undersigned agree that they have read this Waiver and Release of Liability and the Rules and Regulations governing the Tournament(s) and fully understand their terms. The undersigned further agree that by signing this Waiver and Release of Liability they are giving up substantial rights and agree that they are doing so freely and voluntarily without coercion or inducement. BOAT OWNER'S SIGNATURE__________________________________________DATE__________ PARTNER'S SIGNATURE__________________________________________DATE__________   MAKE CHECKS PAYABLE TO: SENIOR BASS ANGLERS      MAIL TO:      SENIOR BASS ANGLERS 1066 Bradley Road  Gallatin, TN 37066