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To
register by credit card online click To register by mail you must print this form! Then mail to 25 Hollywood Ave. Stafford, VA 22554. You can fill it out before or after you print the form. |
MEMBERSHIP FORM2008 Membership-$30 Per PersonNAME_________________________________________________ ADDRESS______________________________________________ ______________________________________________ SSN___________________________________________________ PHONE__________________E-MAIL_______________________ Partner's Name_________________________________________ By signing below, I release Tournament Marine, Corp.(TMC), its agents, officers, employees and sponsors from any and all damages, claims, costs or expenses relating to injury of myself, others or property. I agree to hold TMC harmless from any liability whatsoever, including waiving my right to sue or from recovery for any claims. I acknowledge that I have sufficient liability insurance of the boat I will use in any Championship Teams(CT) tournaments. I understand and agree to grant TMC the unconditional right to use my name, picture or any comments without receiving any compensation. I furthermore understand one team member designated by the Tournament Director may be subject to take a polygraph examination. Failure to take or pass the polygraph will result in disqualification and the possibility of not fishing in any TMC events in the future. I further agree to abide by the CT Rules and Regulations. SIGNATURE______________________________________ |
MEMBERSHIP FORM2008 Membership-$30 Per PersonNAME_________________________________________________ ADDRESS______________________________________________ ______________________________________________ SSN___________________________________________________ PHONE__________________E-MAIL_______________________ Partner's Name_________________________________________ By signing below, I release Tournament Marine, Corp.(TMC), its agents, officers, employees and sponsors from any and all damages, claims, costs or expenses relating to injury of myself, others or property. I agree to hold TMC harmless from any liability whatsoever, including waiving my right to sue or from recovery for any claims. I acknowledge that I have sufficient liability insurance of the boat I will use in any Championship Teams(CT) tournaments. I understand and agree to grant TMC the unconditional right to use my name, picture or any comments without receiving any compensation. I furthermore understand one team member designated by the Tournament Director may be subject to take a polygraph examination. Failure to take or pass the polygraph will result in disqualification and the possibility of not fishing in any TMC events in the future. I further agree to abide by the CT Rules and Regulations. SIGNATURE____________________________________________ |
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PARENTAL CONSENT FORM (Under age 18 at time of registration)
This
is to certify that I, as a parent/guardian with legal responsibility for
this participant, do consent and agree to his/her release as provided on
opposite side, and, for myself, my heirs, assigns, and next of kin, I
release and agree to indemnify and hold harmless Tournament Marine,
Corp. (TMC) from any and all liabilities incident to my minor child's
involvement or participation in these programs as provided above, even
if arising from the negligence of TMC, to the fullest extent permitted
by law. PARENTAL SIGNATURE________________________________________________ PRINTED NAME OF PARENT____________________________________________ PRINTED NAME OF MINOR_____________________________________________ Date of Birth ______/______/______ Date ______/______/ 2008 * NO CASH AWARDS WILL BE PAID TO ANYONE UNDER THE AGE OF 18 * |
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