REGISTRATION FORM
NORTH METRO CHAPTER OF MUSKIES, INC.
28th ANNUAL JUNE JAM INVITATIONAL MUSKIE TOURNAMENT
JUNE 16 & 17, 2018
(YOU MUST PRINT CLEARLY)
ANGLER NAME ADDRESS
CITY
PHONE NUMBER_ ( E-MAIL ADDRESS
MUSKIES, INC.:
)
MEMBER (CHAPTER #
STATE
)
ZIP
NON-MEMBER
ENTRY FEE:
$25.00 JUNIOR PARTICIPANT (15 YEARS AND YOUNGER ON 6/16/18)
JUNIOR PARTICIPANTS ARE NOT ELIGIBLE FOR THE GRAND PRIZE)
_$45.00 EARLY REGISTRATION FOR OPEN DIVISION MUST BE PAID (POST-MARKED) BEFORE MAY 1, 2018
$50.00 OPEN DIVISION PARTICIPANT PAID AFTER MAY 1, 2018
Make checks payable to: / North Metro Muskies, Inc.Mail check and entry form to: / NM Muskies, Inc.
PO Box 1828
Maple Grove, MN 55311-9902
E-mail questions to: /
Website info: / http://www.nmmuskies.com/tournaments/june-jam/
LIABILITY RELEASE
(READ ENTIRE TOURNAMENT RULES FORM BEFORE SIGNING)
AS A PARTICIPANT IN THE NORTH METRO CHAPTER OF MUSKIES, INC. JUNE JAM MUSKIE TOURNAMENT EVENT, I ACKNOWLEDGE I AM VOLUNTARILY PARTICIPATING. I AM AWARE MY PARTICIPATION IN THE TOURNAMENT, LISTED ON MY ENTRY FORM CREATES THE RISK OF SERIOUS INJURY OR DEATH. BY PARTICIPATING, I REALIZE I MAY EXPERIENCE LOSS OR DAMAGE TO PERSONAL PROPERTY. I ASSUME ALL RISK OF INJURY, DEATH AND LOSS OF PERSONAL PROPERTY, WHICH MAY RESULT FROM MY PARTICIPATION IN THIS FISHING TOURNAMENT AND RELATED EVENTS.
I HEREBY RELEASE AND DISCHARGE THE TOURNAMENT DIRECTOR, NORTH METRO CHAPTER OF MUSKIES, INC. AND MUSKIES, INC. INTERNATIONAL, BOARD MEMBERS, TOURNAMENT SPONSORS, TOURNAMENT STAFF AND VOLUNTEERS FROM LIABILITIES ON INJURIES, DAMAGES, OR OTHER LOSS SUSTAINED BY ME CAUSED BY THE NEGLIGENCE OR STRICT LIABILITY OF THE RELEASED PARTIES.
EXPRESSLY RECOGNIZE THE LOSS OF PROPERTY, INJURY OR DEATH ARISES FROM:
1. THE FISHING AND BOATING ACTIVITIES INVOLVED IN THE TOURNAMENT AND EVENTS.
2. THE FACT THAT RISK NORMALLY ENCOUNTERED IN OPEN WATERS FISHING FROM A BOAT MAY BE ENHANCED BY THE EXISTENCE OF COMPETITION.
PARTICIPANT AGREEMENT
I UNDERSTAND THE NORTH METRO CHAPTER OF MUSKIES, INC. JUNE JAM MUSKIE TOURNAMENT IS A SPORTING EVENT
GOVERNED BY RULES. THE JUNE JAM TOURNAMENT DIRECTORS OR THEIR APPOINTED RULES COMMITTEE SHALL SETTLE ALL DISPUTES AND THEIR DECISION WILL BE FINAL AND WITHOUT LEGAL APPEAL.
I HAVE READ THE OFFICIAL TOURNAMENT RULES, RELEASE OF LIABILITY, AND PARTICIPANTS AGREEMENT CAREFULLY AND UNDERSTAND ALL THE TERMS AND CONDITIONS. I THEREFORE SIGN AS A PARTICIPANT. IF ANGLER IS UNDER 18
YEARS OF AGE, A PARENT OR LEGAL GUARDIAN MUST CO-SIGN.
PARTICIPANT NAME DATE
Name DATE
(Parent/guardian)
***YOU MUST ALSO SIGN RETURN THE ADDITIONAL RELEASE OF LIABILITY ON A SEPARATE PAGE ***
Release of Liability: 2018 June Jam Tournament and Events
MUST BE RETURNED WITH ENTRY FORM BY ALL PARTICIPANTS
Name Address City ST Zip
IN CONSIDERATION for being permitted to participate among and on boats under the auspices of
Muskies, Inc. International and the North Metro Chapter, I acknowledge, appreciate and agree that:
1. “I am aware of the inherent risk of fishing and boating, including but not limited to the risks of collisions with other boats and stationary objects in and around the lake, including rocks, reefs, and piers
or other vehicles and trailers at landing areas. I am familiar with other risks up to and including death by drowning associated with rough water, changing weather patterns, heavy winds and lightning storms. I
expressly assume all risks associated with this tournament and related events and I hereby release Muskies, Inc. International and the North Metro Chapter of Muskies, Inc., the host, sponsors and tournament officials from all claims of negligence resulting from injury and/or property damages incurred
in connection with the tournament and related events.”
2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of those persons released from liability below, and assume full responsibility for my
participation; and
3. I will comply with all rules and regulations. If I have any question, or observe any unusual or unnecessary hazard during my participation, I will immediately bring such to the attention of the nearest
official; and
4. I, for myself and on behalf of my heirs, assign, personal representatives and next of kin, hereby release, indemnify and hold harmless Muskies, Inc. International and the North Metro Chapter, the owners and lessors of premises used to conduct the tournament/event, their officers, directors and officials
(“Releases”) with respect to any and all injury, disability, death, or loss or damage to person or property, whether caused by the negligence of the Releases or otherwise.
5. I hereby agree to fully indemnify the Releases from any and all liability (including any and all injury, disability, death or lost or damage to person or property) with respect to myself or third parties directly or indirectly caused by my actions, whether negligent or otherwise, incident to my participation in the
Tournament.
I have read this release of liability and assumption of risk agreement, fully understand its terms, and
Understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any
Inducement.
X_
Participant’s Signature
Date Signed:_
FOR PARTICIPANTS OF MINORITY AGE (UNDER 18 AT REGISTRATION)
This is to certify that I, as parent/guardian of this participant, do consent and agree to his/her
Identification, release and hold harmless as provided above of all Releases, and I, for myself and behalf
Of my heirs, assigns and next of kin, hereby release, indemnify and hold harmless the Releases from any
And all claims incident to my child’s involvement in these programs, tournament and events,
even if arising
Out of the negligence of the Releases, to the fullest extent permitted by law.
X
(Parent/Guardian’s Signature)
Date Signed