Membership Application – Mid-Ohio Bassmasters

Mid-Ohio Bassmasters Club - Membership Application

Name

Street

City

State

Zip

Cell Phone

Is it ok to contact you via text msg?

Yes

Boater or Co-Angler

Proof of insurance (upload a jpg, png, or PDF)

I HAVE READ THE RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVENUP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. See Release of liability terms below.

e-Signature (click to acknowledge that you have read the Release of Liability)

RELEASE OF LIABILITY- READ BEFORE SIGNING

By signing this document, the undersigned acknowledges, appreciates and agree that all club sponsored events included but not limited to tournaments, carry the significant risk of injury for the activities involved, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exists and YOU KNOWINGLY AND FREELY ASSUME ALL SUCH RISK, BOTH KNOWN AND UNKNOWN, EVEN IF ARISING FROM THE NEGLIGENCE OF MID-OHIO BASSMASTERS CLUB, OR OTHER PARTICIPANTS, AND ASSUME FULL RESPONSIBILITY FOR YOUR PARTICIPATION.

You and on behalf of your heirs, assigns, personal representatives, and next of kin agree to Hereby Release, Indemnify, and Hold Harmless the Mid-Ohio Bassmasters Club, and of its representatives, officers, or board of directors, sponsoring agents, sponsors, advertisers, or other participants, with respect to ANY AND ALL INJURY, SIABILITY, DEATH, OR LOSS OR DAMAGE TO PERSONAL PROPERTY, included but not limited to court cost and attorney fees, suffered or incurred while attending any club sponsored function.

You also agree to abide by the rules and by-laws set forth by Mid-Ohio Bassmasters Club. If however, you observe any unusual significant hazard during you presence or participation you will remove yourself from participation and bring such to the attention of the Mid-Ohio Bassmasters Club official immediately. In agreement to these terms, you accept membership for the calendar year in which you signed the document. Dues are to be paid upon signing this document. The terms of this application will remain in effect for the entire club season for which it is intended.

*** Our club requires 300k of boating liability insurance for all boats used in the tournaments, Proof of insurance must be presented, and copies made at the beginning of the season. As well as a valid fishing license, and vessel license (if boater) for all participants (of age). Please provide a copy of insurance and vessel license (if boater), as well as fishing license with this application. ***

PLEASE NOTE: YOUR MEMBERSHIP MUST BE APPROVED AND FEES MUST BE RECEIVED AT EH END OF THE PREVIOUS YEAR.

– Regular Member Fee (18 yrs. old and older): $100.00

– Associate Member (18 yrs. and older): $30.00

NOTE: Please make checks out to: Mid-Ohio Bassmasters

If mailing application mail to: Mid-Ohio Bassmasters- 553 Landover Place, Gahanna, Ohio, 43230