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Page 1: Presented by...Presented by: Title NMTS MEMBERSHIP Author Stan Honeycutt Subject MEMBERSHIP Created Date 1/18/2018 6:36:38 PM

Captain Name

Member Name

D.O.B.

D.O.B.

For Office Use

For Office Use

Please check applicable boxes submitting fee for:

E-mail: [email protected]

E-mail T-Shirt Size: XS S M L XL 2XL 3XL 4XL 5XL

T-Shirt Size: XS S M L XL 2XL 3XL 4XL 5XLE-mail

WAIVER AND RELEASEWWe have read and understand all rules and regulations associated with this tournament and hereby release, hold harmless, waive, and forever discharge all other contestants, sponsors, volunteers, tournament officials, the Donnie Ray Crawford Legacy Foundation, Magic Dry, Timmons Oil Company Inc. & Don Thornton Automotive Group for any and all claims for injury or damages incurred in connection with this tournament and are fully aware of the dangerous nature of this event. I/We also release, hold harmless, waive, and forever discharge all above mentioned persons from any and all claims for injury or damages incurred in the event a minor under the age of eighteen is participating in or attending event. I/any and all claims for injury or damages incurred in the event a minor under the age of eighteen is participating in or attending event. I/We also agree that the Donnie Ray Crawford Legacy Foundation, Magic Dry, Timmons Oil Company Inc. & Don Thornton Automotive Group shall have exclusive rights to use any photographs and video/audio recordings of myself/us as a contestant(s) to use in any manner they so choose. In signing this tournament application, we do agree to submit to any qualified polygraph test, and I/We agree to any outcome of any such testing. This waiver and release covers this tournament and event. All contestants must sign this waiver prior to participation in this tournament.

In consideration of the acceptance of my entry in this tournament and event, I hereby waive, release hold harmless, and forever discharge any and all other promoters and sponsors of this event, including, but not limited to, promoting clubs and organizations, officials, all municipalities, special districts and properties through which this event will be held and their respective officer, agents, representatives, successors and/or assignees from any and all rights and claims, causes of, and any and all damages which I may have or which is sustained or suffered by me in

connection with said tournament and event, including, but not limited to, those arising out of my traveling to, participating in or returning from this connection with said tournament and event, including, but not limited to, those arising out of my traveling to, participating in or returning from this event. I further agree to abide by the rules and regulations of this event and boating and vehicle laws of the state of Oklahoma. I understand that boats equipped with motor horsepower in excess of factory and/or B.I.A. rating, are in violation of Coast Guard regulations. Boat owners are

required to have proper boat insurance. All participants are required to have proper liability insurance. Because of my participation in this event, I irrevocably grant to the Donnie Ray Crawford Legacy Foundation, Magic Drirrevocably grant to the Donnie Ray Crawford Legacy Foundation, Magic Dry, Timmons Oil Company Inc. & Don Thornton Automotive Group and its sponsors unlimited rights to use, in media, and photographs and video/audio recordings of me, contestants, fish caught, and accounts for interviews with contestants for any and all purposes and event coverage including, but not limited to, promotional and advertising purposes.

(Raffle Tickets will be in registration packet)QTYQTY

$2 Raffle Tickets$5 Raffle Tickets

$120

Kevin Apple - 918-271-4027Donnie Ray Crawford Legacy Foundation, 3737 S 273rd E Ave, Broken Arrow, OK, 74014

By signing below, we acknowledge that we have read and understand this Waiver, and the Rules and Regulations of this event and agree to abide by both.

Event T-Shirt and lunch included in entry fee if received by Sept. 21st

Donnie Ray Crawford Legacy Foundation 3rd Annual

Bass Fishing Tournament

2020 Official Entry Form

Presented by: