BENEFITS TOURNAMENT – NewJen Bass

It is imperative that all participants comply with the Covid-19 Health & Safety Order. Protocol will be strictly enforced and absolutely must be adhered to by anglers at all times, otherwise, your team may be immediately disqualified without refund. A facemask and your own weigh in bag may be required. Please make sure to enter your best contact email address during registration! You will be receiving event specific rules, team number, and blast off sheet via email.

No membership required. ALL participants must submit the information requested below.

Participant Information:

Name: Phone: Email (Event specific rules will be sent here): Date of Birth: I am the : BoaterNon-Boater Partner First & Last Name: Preferred Method of Contact : PhoneTextEmail Shirt Size : SMLXLXXL Address: City: State: ZIP: Emergency Contact Name: Emergency Contact #: I heard about the event from: FacebookInstagramReferredOther Have you ever been disqualified from a sanctioned bass fishing event for cheating or failing/declining a polygraph test? NoYes If yes, explain in detail:

Boat Information (if boater):

Boat Make & Model: Engine Make: Insurance Company: Coverage Amount: Registering for: 11/14/2020 Benefits Tournament

DECLARATION:

I hereby certify that all information entered on this form is true and correct to the best of my knowledge. I hereby certify that I have read, understand, and will comply with all rules and regulations established by NewJen Bass and all State and Federal agencies that have jurisdiction over tournament waters, to include tow vehicle and boat insurance. Due to special circumstances related to Covid-19, I further understand I must comply with protocol directive from the Health Officer of the County of Contra Costa, or me and my team may be immediately disqualified from the event, without refund. The Tournament Director/s have all final authority over any protests, disputes, and reserve the right to refuse service or participation to anyone. With my online payment, I hereby waive and release from harm NewJen Bass, the tournament host marina, directors, vendors, and sponsors from any and all claims of negligence, injury, and/or damages incurred in conjunction with this event. I have the necessary liability insurance prescribed by the rules to participate in NewJen Bass events. I further understand that I am solely responsible for all costs incurred resulting from any incident/s related to a NewJen Bass event. I release rights to any images or videos of myself captured by NewJen Bass, any host, any sponsor, or any other angler for event use. By E-signing below, I confirm I have read, reviewed, and understand the official NewJen Bass Team Tournament rules found at www.NewJenBass.com.

E-Signature: Date:

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