BASS Member No.

(not required)

BASS Member No.

(not required)

Emergency Contact

Type of Payment

(per angler)

PARTICIPATION AGREEMENT

HAVING ACQUAINTED MYSELF WITH THE RULES AND REQUIREMENTS, I HAVE COMPLETED THE APPLICATION FORM AND AM ENCLOSING THE APPLICATION FORM, MY DEPOSIT OR ENTRY FEE PAYABLE TO JUBILEE CITYFEST, ALONG WITH THIS PARTICIPATION AGREEMENT CONFIRMATION.

In signing this Official Entry Form and Participation Agreement, I hereby agree to be bound by and comply with all tournament rules, and regulations. I expressly assume all risks associated with this tournament and I hereby release JUBILEE CITYFEST and its affiliates, the host, sponsors and officials from all claims of death, injury and/or property damage incurred by me in connection with my participation in this tournament series. If I am using my own boat in the tournament series, I certify that I now have or will obtain prior to the tournament series, boat owners liability insurance (including coverage for third party property damage and bodily injury) with no Tournament exclusion, having a minimum limit of $300,000 per occurrence. The insurance must be issued by a reputable insurer rated A or better by A.M. Best and Company..

I hereby agree to waive my rights of privacy or publicity with the regard to the programs of the tournament in which I appear and consent to JUBILEE CITYFEST (and its parent, affiliated and subsidiary companies, and those acting under their permission or upon their authority), copyrighting, distributing, televising, publishing and using in any way the audio and visual portions of any television videotape, film and photographs or pictures of me or of interviews, scenes or other sequences in which I may be included, and any reproduction thereof, anywhere at any time through any medium or media for advertising, promotion, trade, television programming or other lawful purpose whatsoever; and I shall not be entitled to receive any royalties or other compensation in connection with such use.

I further understand and agree that the Tournament Director reserves the right to reject my application for any reason and, upon such rejection, to refund the deposit or entry fee.

In addition to adhering to the Rules, Code of Conduct I understand that I am required to provide JUBILEE CITYFEST with a current e-mail address. If I do not have my own e-mail address, I must furnish an e-mail address for a primary contact person.