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Membership Form

Rogue Valley Bassmasters

Registration/Release Form

 

New Member               Yes _____                   No _____

 

NAME _________________________________________________________________

 

ADDRESS ______________________________________________________________

 

CITY ______________________________STATE _________ ZIP __________

 

PHONE (_____) ___________________

 

EMAIL ADDRESS  ______________________________________________________

 

BOAT OWNER          Yes _____                   No _____

 

MEMBERSHIP:  Family-Plus - $40 ____ Family - $30 _____Single - $25 _____

 

FAMILY-PLUS = FAMILY + RELATIVES. NAMES REQUIRED BELOW:

  

 

 
RELEASE

 

I, __________________________________, do hereby release the ROGUE VALLEY BASSMASTERS of any obligation both of any damages to my person or property occurring at any and all club tournaments for the year _______.  This release includes all manner and causes of action, suits, debts, dues, sums of money, accounts, bonds, bills, covenants, contracts, controversies, agreements, promises, variances, trespasses, damages, judgments, execution, claims, and demands whatsoever.  I know that any legal fees involved in any and all actions will be the responsibility of myself and no fees will be held accountable to the ROGUE VALLEY BASSMASTER or any person associated with this organization/club.

 

Signature:  _________________________________  Dated:  ______________________

Mail completed form to:  Andy McBee, 965 Old Ferry Rd., Shady Cove, OR 97539