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WAIVER & RELEASE FROM LIABILITY-THIS IS A RELEASE

Instructions:

1. Applicants age 18 and over, please complete Part “A.”

2. Applicants under age 18 must have parents of guardian
    complete Part “A” and Part “B.”

Part “A” Waiver and Release from Liability

In consideration of being permitted to enter for any purpose any RESTRICTED AREA (herein defined as the areas to which admission by the general public or spectators is prohibited), or being permitted to compete, officiate, observe, work for, or any purpose participate in any way in the event, EACH OF THE UNDERSIGNED, hereinafter referred to as “releaser,” for himself, his personal representatives, heirs, next of kin, acknowledges, agrees, and represents that he has, or will immediately upon entering any such restricted areas, and will continuously thereafter, inspect such restricted area or areas and his participation, if any, in the event constitutes an acknowledgement that he has inspected such areas and that he finds and accepts the same as being safe and reasonably suited for the purpose of his use, and he further agrees and warrants that if, at any time, he is in or about restricted areas and he fells anything to be unsafe, he will immediately advise the officials of such and will leave the restricted area(s) and further:

1. HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO
    SUE the “Lake Dardanelle Big Bass Classic,” the promoters,other participants,
    operators, officials, any persons in a restricted area, sponsors, advertisers, owners
    and lessees of premises used to conduct the event and each of them, their
    officers and employees, all for the purposes hereinafter referred to as “releasee”,
    from all the undersigned, his personal representatives, assigns, heirs, and next of
    kin for any and all damage, and any claim or demands therefore on account of
    injury to the person or property of resolution in death of the undersigned,
    whether caused by the negligence of the “releasee” or otherwise while the
    undersigned is in or upon the restricted area, and/or, competing, officiating in,
    observing, or working for, or for any other purpose participation in the event.

2. HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the
    releasees and each of them from any loss, liability,damage, or cost they may
    incur due to the presence of the undersigned in or upon the restricted area or in
    any way competing, officiating, or working for, or for any purpose participation in
    the event and whether caused by the negligence of the releasees or otherwise.

3. HEREBY ASSUMES FULL RESPONSIBILITY OF ANY RISK OF BODILY
    INJURY, DEATH, OR PROPERTY DAMAGE due to the negligence of releasees
    or otherwise while in or upon the restricted area and/or while
    competing, officiating, observing, or working for, or for any purpose
    participating in the event.

4. EACH OF THE UNDERSIGNED, expressly acknowledges and agrees that the
    activities at the event and in the restricted areas are dangerous and involved the
    risk of serious and/or death and and/or property damage. EACH OF THE
    UNDERSIGNED further expressly agrees that the foregoing release, waiver, and
    indemnity is intended to be as broad and inclusive as permitted by the law of
    the Province or State in which the event is conducted and that if any portion
    thereof is held invalid, it is agreed that the balance shall, notwithstanding,
    continue in full force and effect.

THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY

AGREEMENT, and further agrees that no oral representations, statements, or inducement apart from the foregoing written agreement have been made. This waiver, release and indemnification agreement specifically embraces each and every activity or event in which the undersigned participates so that the parties herein intended to be released and indemnified shall be fully and effectively released and indemnified as to each and every event herein above described.

Print Name,_________________________Signature_________________________ Date _____

Print Witness,_______________________Signature__________________________ Date_____

                                                 Official Entry Form (print)

Name _____________________     ____________________________

Address ______________________ City                                    State              Zip __________    

Telephone ____________________ Emergency Phone______________________

Email Ad.: ___________________SS #____________________(for IRS) Driv. Lic. # _______________

Please check the day or days that you will fish.     
(Entry dates subject to change due to Weather Conditions)

               Early Entry                                         Late Entry

Saturday, April 25 ($80) ____                 Saturday, April 25 ($90) ____
Sunday, April 26 ($80) ____                   Sunday, April 26 ($90) ____

Sat. & Sun. 25 &26 ($150) ___               Sat. & Sun. 25 & 26 ($170)___

                                     
Part “B”-Parent/Guardian Waiver-Release from Liability

(if applicant is under 18 years of age, the parent(s) or guardian(s) must execute in addition to the above, this following waiver)

The undersigned (Print)______________________________________referred to as the parent(s) and natural guardian(s) of______________________________________________does hereby represent that he/she (they) is (are) in fact, acting in such capacity and agree to save and hold harmless and indemnify each and all of the parties herein referred to above as releasees from all liability loss, cost, claim or damage whatsoever may be imposed upon said releasees on behalf of both of the undersigned.

Print Name __________________Signature___________________________ Relation to Minor _________