Rat-L-Trap Open Team Tournament
January 14, 2018 - Sam Rayburn, TX
@ Umphrey Pavillion


Early Entries/Results - Rules - Entry Form - Credit Card Entry Form


2018 Sam Rayburn "Rat-L-Trap Open" Official Entry Form

Angler 1

Birthdate    
Address
City
State Zip
Phone
Email
Emergency Contact
Emergency Phone#
Angler 2

Birthdate    
Address
City
State Zip
Phone
Email
Emergency Contact
Emergency Phone#
Select All That Apply:
Tournament Entry Fee = $100

Big Bass Entry Fee = $20

Your Total Is:


Please mail your completed Entry Form along with a check or money order Payable To:
Media Bass
12416 Crestwood Ln.
Balch Springs, TX 75180

Phone: 214-850-6581
Email

Tournament Entry Fee = $100
Big Bass Entry Fee = $20

Click Below To Enter With Credit Card


Liability Release Please Read and Sign
A. In signing this agreement, I hereby release David Haas, Media Bass and Sports Design and Development Inc, its officers agents, employees andsponsors (herein referred to ask David Haas, Media Bass, and Sports Design and Development Inc) from any and all damages, claims, demands, cost or expenses relating to injury of any person(s) or any property, which I may sustain or which I may cause by reason of participating in or in connection with any and all David Haas, Media Bass and Sports Design and Development Inc.
B. Covenant not to sue and Waiver of Subrogation: I further agree that I will never sue David Haas, Media Bass, and Sports Design and Development Inc for damages on account of any injury or damage I suffer or cause whether known now or which may develop in the future. In the event David Haas, Media Bass, and Sports Design and Development Inc is sued because of my actions, I expressly agree to indemnify and hold David Haas, Media Bass, and Sports Design and Development Inc harmless from any liability whatsoever, including court cost and attorney’s fees, arising with respect to such actions. I understand that in waiving my rights to sue David Haas, Media Bass, and Sports Design and Development Inc. I am also waiving my rights of recovery from David Haas, Media Bass, and Sports Design and Development Inc of any my Insurance carrier for any claims they may pay on my behalf. I further understand that by signing this agreement I waive any rights my heirs or relatives have or may have to sue David Haas, Media Bass, and Sports Design and Development Inc.
C. Verification of liability Insurance: I state that I maintain liability insurance on the boat I will use in this or any David Haas, Media Bass, and Sports Design and Development Inc event.
D. Truth Verification: Polygraph or truth verification may be given at any time at the discretion of the officers David Haas, Media Bass, and Sports Design and Development Inc. Refusal of failure of polygraph or truth verification will automatically eliminate team members’ participation from all future David Haas, Media Bass, and Sports Design and Development Inc events.
E. Camera Release: I hereby grant David Haas, Media Bass, and Sports Design and Development Inc the unconditional rights to use my voice, photographic likeness and biographical information and fishing tips and instructions in connection with all David Haas, Media Bass, and Sports Design and Development Inc video/audio production, promotions and/or other compensation in connection with such use.
F. I signify by my signature that I have read, understand and agree to abide by all rules and regulations and decisions set forth by David Haas, Media Bass, and Sports Design and Development Inc tournament officials.
G. David Hass reserves the right to refuse membership and/or participation in any event for any reason.

Boater ______________________________ Date_______________ Non-Boater ____________________________ Date____________

Legal Guardian _______________________ Date_______________ Legal Guardian _________________________Date____________