2023 - 2024 ASABFA Angler Membership Form

Each student angler must have an ASABFA membership before participating in an ASABFA event. Anglers must have a parent or guardian complete this form for the "Release of Liability". This information is very important to us for contacting our student anglers concerning your team and lake information. Please check to make sure all data is correct before submitting. Please use an email address that is monitored regularly.

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School Name (No abbreviations) *
Name of Club (No abbreviations) *
District *
Student Angler First Name *
Student Angler Last Name *
Division (Junior Division must be 6th. - 8th. Grades) *
Sex *
Grade *
Graduation Year *
Tee Shirt Size
Clear selection
BirthDate *
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Age *
Student Cell # (Use Parent Cell if no Student #) We will be using this number to text emergency information on the water this year. We need good numbers.  Cell Phone #'s  Please use 10 didget phone number only. No dash or parentheses. *
Student Home Address *
City *
Zip *
Personal Email (preferably not school email address) *
Physical Impairment *
Parent/Guardian Contact Name *
Parent/Guardian Contact #'s   Please use 10 didget phone number only. No dash or parentheses. *
Optional Secondary Parent/Guardian Contact Name
Optional Secondary Parent/Guardian Contact #'s.  Please use 10 didget phone number only. No dash or parentheses.
I will be fishing from a boat purchased or repowered from Freedom Marine Center. *

ALL OF THE FOLLOWING QUESTIONS HAVE TO DO WITH THE RELEASE OF LIABILITY AND MUST BE COMPLETED BY THE PARENTS/GUARDIANS OF PARTICIPANTS. Please read all before submitting.

In consideration of being allowed to participate in any way in the Alabama Student Angler Bass Fishing Association tournament trail, its related events, and activities, I, the undersigned, acknowledge, appreciate, and agree that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Alabama Student Angler Bass Fishing Association immediately; and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin,

HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE Alabama Student Angler Bass Fishing Association, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY

UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SUBMITTING IT, AND SUBMIT IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my child, and our heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

By completing and submitting this form I agree to all terms stated above.

*
Parent / Guardian Legal Name *
Parent Guardian Age *
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