Triton Gold

 

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PBF Inc.
P.O. Box 822
Goodlettsville, TN 37070

Phone:
615-969-3900
or
615-948-9505
Fax Number:
859-0037
E-mail Address

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The Entry Form
2008 Entry Form:
BOAT CAPTAIN:  T-Shirt Size: 
ADDRESS: 
CITY:  ZIP: 
SOCIAL SECURITY NO.:  EMAIL: 
HOME PHONE: (    )  CELL PHONE:(    ) 
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 #15)
INSURANCE COMPANY
POLICY #: 
AGENT: 
TOW VEHICLE:  MODEL:  YEAR: 
PARTNER NAME:  T-Shirt Size: 
ADDRESS:
CITY:  STATE:  ZIP: 
SOCIAL SECURITY NO.:  EMAIL: 
HOME PHONE:(    )  CELL PHONE:(    ) 
TOURNAMENT(S): 
MAKE CHECKS PAYABLE TO:
PROFESSIONAL BASS FISHERMEN
MAIL TO:
PROFESSIONAL BASS FISHERMEN
P.O. BOX 822,
GOODLETTSVILLE, TN 37070
PARTICIPANT WAIVER RELEASE OF LIABILITY READ BEFORE SIGNING
As a condition and in consideration of being allowed to participate in the PBF Tournament(s) and all activities surroundingthis fishing tournament for 2008, (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 PBF, 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: 
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE OF 18 AT TIME OF TOURNAMENT(S). I The undersigned hereby certifies that I am the parent/legal guardian for the undersigned participant in the Tournament and do hereby consent and agree to the terms of the aforesaid Waiver and Release of Liability as it relates to the participation of the minor participant for whom I am parent or legal guardian. The undersigned further releases and agrees indemnify and hold harmless the Releasees from any and all liabilities arising out of or relating to the minor participant's involvement or participation in PBF Fishing Tournament(s) even if any such liability arises from the negligence of the Releasees.
NAME OF MINOR:
PARTICIPANT
DATE:
PARENT/GUARDIANS
SIGNATURE:
DATE:
 

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