1. No category

Participant Agreement, Liability Release
and Acknowledgement
On-Line
Registration of Risk
1.
I have read and understand the description of the
Save
timeand
and
Register
ONLINE!
tournament
thehassle.
Official Rules
of this tournament.
I will
obey
all
rules
and
understand
that
any
violation
may
result
in
You’ll receive an immediate
immediate
disqualification
without
refund
of
my
entry
fee.
I
also
confirmation email and
aunderstand
receipt. that
Gotournament
to http://officials may reject my application
for any reason and in that event will refund my entry fee.
bassclassic.catchadream.
2. I understand and acknowledge that competitive fishing is a
org
and click
on
dangerous
sport,“REGISTER”
the risk of which includes,
though not
exclusively,
collision
in the
the
left of drowning,
page just
under
thewater, and injuries from
hook and other fishing paraphernalia. I voluntarily assume the
logo.
responsibility for these risks, identified and not identified, and
all risk of injury or death or damage to myself or my property or
to others, including spectators and their property, arising from
my participation in the tournament.
Keep
up with
what’s
happening
the harmless
3. I hereby
release,
discharge,
and agreeas
to hold
and
indemnify
The
Catch-A-Dream
Foundation,
Thelatest
Catch-Atournament approaches and catch the
Dream Bass Classic, the Fallen Firefighter Memorial Fund,
weights each hour during the Lucky Cast
their respective officers, sponsors and tournament officials and
contest
via text messaging. Simply subscribe to
all other persons or entities associated with the tournament
Bass
Classic
Textclaims,
Alerts
and stay
informed!
from any and all liability,
demands,
actions
or right of
actions
related
to, arise
out of,communication
or are in any way
We
willwhich
useare
this
as the
official
connectedduring
with my participation
in this tournament,
method
the tournament
not onlyincluding
for
specifically but not limited to the negligent act or omissions of
Lucky Cast, but also for other safety/emergency
The Catch-A-Dream Foundation, The Catch-A-Dream Bass
or
communication
needs.
Classic,
the Fallen Firefighter
Memorial Fund, their respective
officers, tournament officials and all other persons or entities
associated
with theSend
tournament,
any and all injury,
death,
To
Subscribe:
a textformessage
to 95577
illness
or
disease,
and
other
damages
or
loss
to
property
and enter the keyword CATCH. It’s easy and it’s
suffered by myself or others. In signing this document, I
FREE!
acknowledge and agree that if anyone is hurt or property is
damaged while I am engaged in this event, I will have no right
to make a claim or file a lawsuit against, The Catch-A-Dream
Foundation, The Catch-A-Dream Bass Classic, the Fallen
Firefighter Memorial Fund, their respective officers, tournament
1. Buddy Team Division – Teams must
officials and all other persons or entities associated with the
consist
ofif 1they
adult
and
1 youth
under
the the
tournament,
even
or any
of them
negligently
caused
age
of
16
(as
of
tournament
day.)
Gender
bodily injury or property damage.
4. I have
health, in
accident
and liability insurance to
doessufficient
not matter
this division.
cover
any
bodily
injury
or
property
damage
incurred by
myself
2. Couples Team Division – Teams
must
or other as a result of my participation in this event. If I have no
consist of 1 adult male and 1 adult female.
such insurance, I represent that I am capable of paying for any
3.
team
mayorenter
and allAsuch
expense
liability.only ONE of the three
special
divisions.
5. I have
no past
or present medical or psychological
condition that might affect my participation in the tournament in
such a way as to cause harm to myself or others.
6. I agree to submit to and accept the result of the polygraph
tests.
Tournament
7. I understandT-Shirts
that the tournament officials are not
responsible
for entries
are
odor and
stainlost or delayed in the mail. I further
understand Ihigh
will be responsible for entry payment prior to
resistant,
tournament take off including late fee.
Bass Classic Text Alerts
Reminders
New Style T-Shirts
performance A-4
Moisture
Management
Signature _____________________________________
styles.
Signature _____________________________________
Parent, if minor (16 and under)
_____________________________________________
ENTRY FORM
SCHEDULE OF EVENTS
MUST HAVE TWO NAMES FILLED OUT BELOW TO GET
A TAKE OFF NUMBER!
Friday • April 24, 2015
PLEASE PRINT
Team
Captain:
_________________________
Deadline
for receipt
of $125 Early Bird Entry
and
application
form. All entries postmarked
Address:
_____________________________
after this date will be $150 and will be
City:______________
State:_____
Zip: _____
accepted through takeoff
time Sunday.
Phone: _______________________________
Saturday • May 2, 2015
Email:________________________________
A representative from each team must
register
MSand
Trade
Mart
Buddy
Team (1atadult
1 youth
underBuilding,
16)?
No St. Jackson, MS 39202.
1200Yes
Mississippi
Couples
Team
(1
Male/1
Adult
Female)?
Registration willAdult
be from
4:30
PM
until 8 PM.
Yes
No
A free meal will be provided by
Fire Dept. or a Law Enforcement Agency or retired
from such?
Yes
No Department _____________
2nd Member Name _____________________
Address: _____________________________
City:______________ State:_____ Zip: _____
Phone:
_______________________________
For contestants
and one guest each.
Additional
guests will be $5.00 each.
Email:
________________________________
Fire Dept. or a Law Enforcement Agency or retired
from such?
Sunday • May 3, 2015
Yes
No
Department _____________
Tournament
Headquarters
will be at the
pavilion at the public landing adjacent to
I want ______ Catch-A-Dream Bass Classic T-shirts
Tommy’s
@ $15.00
ea. Trading Post on Hwy. 43
Take
off time
- safe
light____XXXL
____S ____M
____L
____XL
____XXL
Weigh-in begins at 3:00 PM
_____$125.00 Early Bird Entry
(Must be postmarked OR submitted online by April 24, 2015 )
There
will beLate
a Brief
_____$150.00
Entry Devotional Service
minutes
prior
_____30
$20.00
Big Bass
Pot to the take off,
(We will pay 3 big fish places)
at the pavilion.
_____T-shirts @ $15.00
Tournament
willticket(s)
be awarded
_____
(Additional)awards
Guest meal
@ $5 each
(You are entitled tofollowing
one FREE guest per
angler.)
immediately
the
weigh-in.
Total Enclosed $_____________________.
FOR MORE
Make INFORMATION
check payable and CALL
mail THIS FORM AND CHECK to:
662-324-5700
Catch-A-Dream Bass Classic
P.O. Box 714
orBrandon,
visit ourMS
website
39043
or drop off at the Pearl, MS BassPro Shops Fishing Counter
http://bassclassic.catchadream.org
Read and sign Liability Release on opposite side.