USA BASSIN Regional Entry form
Team Contact Information
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Anglers Names Example: John Doe / Mike Doe *
Please enter your names.
USA BASSIN Team ID Number *
Please enter your 2022 USA BASSIN Team ID Number
Phone Number: *
Please enter a "Cell Phone" number we will use to contact you during the tournament.
Email: An e-mail address is required to pay with Credit Card *
An invoice will be e-mailed to you. You can pay the e-mailed invoice with your credit card.
Please Choose The Regional Tournaments You Plan To Fish.
Qualified teams may enter as many Regional events as they choose to fish.
Liability Release
Liability Release: In consideration of membership in U.S.A. BASSIN Tournament Fishing Circuit (“ USA BASSIN”) as well as being granted permission to participate in the fishing tournaments and other events held or sponsored by USA BASSIN (the “Events”), THE UNDERSIGNED HEREBY RELEASES, DISCHARGES, WAIVES AND RELINQUISHES ANY AND ALL ACTIONS OR CAUSES OF ACTION INCLUDING, BUT NOT LIMITED TO, PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH OCCURRING TO HIM/HERSELF ARISING OUT OF, RELATED TO , OR CONNECTED WITH IN ANY MANNER ENTRY OR PARTICIPATION IN THE EVENTS, wherever or however the same may occur and for whatever period said activities may continue, and the undersigned agrees that under no circumstances will he/she or his/her heirs, executors, administrators, and assigns prosecute or present any claim for personal injury, property damage, or wrongful death against USA. BASSIN, LLC, USA BASSIN: The Next Generation, Inc. or any of their principals, officers, directors, employees or agents (“Released Persons”) for any of said causes of actions, whether the same shall arise by the negligence of any of said persons, or otherwise. The undersigned further and separately agrees to indemnify, save, and hold harmless Released Persons from any loss, liability, damage, or cost, including but not limited to court costs and attorney’s fees, that they may incur, in connection with participation in Events, whether caused by the negligence of Released Persons or otherwise. This release is intended to be as broad and inclusive as permitted by the applicable law. The undersigned further states that he/she has carefully read the foregoing, knows the contents thereof, and has signed this release as his/her own free act. Any member agrees, by his or her signature on this agreement, to a polygraph or voice stress analysis examination, commonly referred to as a truth verification test, and to abide by its conclusion.  Truth verifications test(s) will be used at USA BASSIN’S sole discretion and administered by it or its agents.  Refusal to take or failure to pass the examination as determined by USA BASSIN will result in disqualification, at the sole discretion of USA BASSIN. The undersigned HEREBY WAIVES TRIAL BY JURY in any action, proceeding, or counterclaim brought by or against the undersigned regarding any matter whatsoever in connection with the tournament. Verification of liability insurance: I, the undersigned, further state that I am a current member of USA BASSIN and that I maintain liability insurance on the boat I will use in any USA BASSIN Tournament Fishing event. Attorney’s Fees: Only USA BASSIN and Released Persons are entitled to recover their attorney’s fees. The undersigned is not entitled to recover attorney’s fees regardless of the outcome of any litigation or settlement. The laws of the State of Indiana, excluding only its choice of law provisions, shall govern the validity, enforcement, and interpretation of this Contract. Any dispute or cause of action under this Contract shall exclusively be filed and resolved in a state court located in Lawrence County, Indiana and the undersigned irrevocably agrees to submit to personal and subject matter jurisdiction in the same. I signify by my signature that I have read and understand the above agreement and all USA BASSIN Rules

There will be a 7% service charge added to your entry fee for paying by Visa or Master Card.

I signify by clicking the button below that I and my partner have read and understand the above agreement.

A refund will be given only if the director is contacted by 12:00pm (Noon) Wednesday prior to the Registration Day. Failure to inform the Regional Tournament Director of a refund will result in a forfeit of entry fee. USA BASSIN will only refund $120 of the Entry fee.  

Agree to Rules, Regulations and Liability *
Required
Note to Tournament Director
An invoice will be e-mailed to you within 24 hours Monday - Friday.
No invoices will be sent out after 3:00pm on Friday or on Saturday & Sunday.

A refund will be given only if the director is contacted by 12:00pm (Noon) Wednesday prior to the Registration Day. Failure to inform the Regional Tournament Director of a refund will result in a forfeit of entry fee. USA BASSIN will only refund $120 of the Entry fee.  
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