10SR Entry Little Anglers

Sealy OUTDOORS

WWW.SEALYOUTDOORS.COM ~ 888.698.2591

2010 LITTLE ANGLERS DIVISION

OFFICIAL ENTRY FORM - Sam Rayburn, Texas

* Entry fee is $10 Per Day Per Person.

* Participants must be 12 years of age or younger at the time of the tournament to compete and win prizes.

* It is the responsibility of the parent/guardian to insure the eligibility of the child entered.

STEP 1 >> ENTER CONTESTANT INFORMATION BELOW:

First Name:

Middle Initial:

Last Name:

Mailing Address:

City:

State:

Zip Code:

Age:

Date of Birth:

Enter (Month-Day-Yr) as example: 00-00-0000

Email Address:

Home Phone Number:

Enter as example: 000-000-0000

Guardian's Cell Phone Number:

Enter as example: 000-000-0000

STEP 2 >> Select the day(s) you are entering the tournament to fish below:

Select days you are entering the Sam Rayburn, TX tournament to fish:

PARTICIPANT AGREEMENT, RELEASE AND ACKNOWLEDGEMENT OF RISK:
By completing this Official Entry Form, paying the required entry fee, and signing this contract, I hereby enter the above Big Bass Splash® Tournament(s) - Little Anglers Division. In addition, I acknowledge that I have read, understand, and accept all the rules related to the tournament(s) and waive and release all other contestants, McDonald’s® Corporation, McDonald’s® of Jasper/Woodville, Texas; Leesville/DeRidder, Louisiana; Paris/Commerce/Sulphur Springs, Texas; Char, Inc; Guntersville/Scottsboro/Albertville/Boaz, Alabama; sponsors and their agents; Sealy Outdoors, Inc. and all tournament officials from any and all claims of personal injuries and accidents, as well as, any damaged, lost, or stolen property incurred in connection with the tournament(s). I understand that boat and liability insurance are my responsibility. I hereby grant permission to the tournament(s), McDonald’s® of Jasper/Woodville, Texas; Leesville/DeRidder, Louisiana; Paris/Commerce/Sulphur Springs, Texas; Char, Inc.; Guntersville/Scottsboro/Albertville/Boaz, Alabama; sponsors and their agents; Sealy Outdoors, Inc. and all tournament officials the right to publicize, video tape, photograph and /or broadcast my name, character, likeness or voice and the fact that I was a participant and/or winner, and all other matters incidental thereto. I agree that I am not entitled to receive any royalties or other compensation in connection with such use. My signature below reflects that I have read this entire document, understand it completely, understand it affects my legal rights, and agree to be bound by its terms. References to “I”, “my”, “myself”, and others first person references shall include any child or ward to whom I sign. FOR PARENT/GUARDIAN OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION): This is to certify, that I, as parent/guardian with legal responsibility for this participant, do consent and agree to indemnify and hold harmless the releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law. By completing this Official Entry Form, paying the required entry fee, and signing this contract, I hereby enter the above Big Bass Splash® Tournament(s) - Little Anglers Division. In

When submitting entry electronically, type contestant name below and insure that the "I Accept" box has been checked. If mailing or faxing entry, please print a copy of this form and sign below.

ENTER LITTLE ANGLER'S NAME:
I Accept

When submitting entry electronically, type parent/guardian name below and insure that the "I Accept" box has been checked. If mailing or faxing entry, please print a copy of this form and parent/guardian must sign below.

ENTER PARENT/GUARDIAN'S NAME OF LITTLE ANGLER:
I Accept