2014 Couples Tournaments
ENTRY FEE: $125 PER TEAM ($135 at Ramp) PAID
Membership $75 Per Couple PAID - Optional Big Bass $10 PAID
DATE:_________________________________
FOR_______________________ TOURNAMENT
1. CURRENT MEMBER ________YES _______ NO
MY MEMBERSHIP EXPIRES ______________________
• Non Members can join at the lake
NAME:______________________________________
ADDRESS____________________________________
CITY________________ STATE ______ ZIP: _________

PHONE ______________________ SSN:_____________
2. CURRENT MEMBER ________YES _______ NO
MY MEMBERSHIP EXPIRES ______________________
• Non Members can join at the lake
NAME:______________________________________
ADDRESS____________________________________
CITY________________ STATE ______ ZIP: _________

PHONE ______________________ SSN:_____________


PARTICIPANT AGREEMENT, RELEASE, AND ACKNOWLEDGMENT OF RISK
In consideration of Arkansas Couples Tournaments allowing me to participate in this tournament, I acknowledge and
agree as follows:
1. I have read and understand the description of the tournament and the Official Rules of this tournament. I will obey
all rules and understand that any violation may result in immediate disqualification without refund of my entry fee. I
also understand that tournament officials may reject my application for any reason and in that event will refund my
entry fee.
2. I understand and acknowledge that competitive fishing is a dangerous sport, the risks of which include, though not
exclusively, drowning, collisions in the water, and injuries from hooks and other fishing paraphernalia. I voluntarily
assume 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.
3. I hereby release, discharge, and agree to hold harmless and indemnify Arkansas Couples Tournaments, it's shareholders,
officers, directors, agents and employees, the host, sponsors and tournament officials, and it's partners,
agents or employees, and all other persons or entities associated with the tournament from any and all liability,
claims, demands, actions or rights of action which are related to, arise out of, or are in any way connected with my
participation in this tournament, including specifically but not limited to the negligent acts or omissions of Arkansas
Couples Tournaments, it's shareholders, officers, directors, agents and employees, the host, sponsors and tournament
officials, and it's partners, agents or employees and all other persons or entities associated with the tournament, for
any and all injury, death, illness or disease, and other damage or loss to property suffered by myself or others. In
signing this document, I 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 Arkansas Couples Tournaments, it's shareholders,
officers, directors, agents or employees, the host, sponsors, officials and all other persons or entities associated
with the tournament, even if they or any of them negligently caused the bodily injury or property damage.
4. Any suit brought by me against Arkansas Couples Tournaments as a result of my participation in this tournament
will be brought in state or county court in No. Little Rock, AR., where the principal office of Arkansas Couples
Tournaments is located. Should it become necessary for Arkansas Couples Tournaments or someone on it's behalf, to
incur attorney's fees and costs to enforce this agreement, or any portion thereof, I agree to pay the reasonable costs
and attorney's fees thereby expended, or for which liability is incurred.
5. I have sufficient health, accident and liability insurance to cover any bodily injury or property damage incurred by
myself or others as a result of my participation in this event. If I have no such insurance, I represent that I am capable
of paying for any and all such expenses or liability.
6. 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.
7. I give Arkansas Couples Tournaments permission to use my name and photograph for promotional purposes. I
agree to submit to and accept the results of the polygraph test given at this event. I am currently a member in good
standing of Arkansas Couples Tournaments. My signature below reflects that I have read this entire document, understand
it completely, understand that it affects my legal rights, and agree to be bound by it's terms. References herein
to "I", "my", "myself", and other first person references shall include any child or ward for whom I sign.
1.__________________________________________
2.__________________________________________
Parent, if Minor:_______________________________
Director Only: Amount Paid ______ -Cash - Check #

 

(1)___________________________________(2)__________________________________
Signatures (Must be signed by both contestants)

______ We are current members of Arkansas Couples Tournaments    
______ We wish to join Arkansas Couples Tournaments ($75 Annual Membership)    $_________
______ Enclosed is our $125 Entry (mailed 6 days prior to event)($135 at the ramp)    $_________
$______ Enclosed is our Big Bass Pot    $_________

LAKE______________________________________TOTAL ENCLOSED $_______________
 

Complete and Mail Entry Form with check/money order
Vince Miller
6506 Warden Road
Sherwood Ar, 72120
(501) 834-5733

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