Date: May 17 Venue: Pickwick & Wilson Lakes Fishing Tournament Liability Release Form Participant's Name(Required) First Last I am 18 years of age or older(Required) Yes No I, , in consideration of me being allowed to participate in any way in the above fishing tournament and accompanying festivities (“Event”), agree and acknowledge: 1) Liability Release: On behalf of myself and my heirs, successors, servants, assigns, executors, administrators, guardians, and conservators, I HEREBY RELEASE, DISCHARGE, CANCEL, WAIVE, COVENANT NOT TO SUE, ACQUIT, AND HOLD HARMLESS ALABAMA ASSOCIATED GENERAL CONTRACTORS (AL AGC) and its heirs, administrators, parent companies, subsidiary companies, affiliate companies, member companies, servants, agents, employees, directors, officers, predecessors, successors and assigns, and the tournament directors, partners, employees, consultants, principals, agents, servants, heirs, administrators, shareholders, successors, directors, officers, representatives, attorneys, and assigns (collectively for purposes of this form known as AL AGC) as well as any governmental entity where the event is held, and agree to hold them free and harmless for, from, and against any and all claims, judgments, appeals, rights, demands, costs, expenses, liabilities, obligations, actions, and causes of actions of any character or form whatsoever, whether known or unknown, suspected or unsuspected, arising from their negligence or otherwise, including, but not limited to, all liabilities for personal injury, property damage, or wrongful death caused by such negligence or otherwise resulting from participation in the event listed above (the “Claims”). 2) Rules: I have read, understand, acknowledge, and agree to abide by all rules set forth by ALABAMA ASSOCIATED GENERAL CONTRACTORS (AL AGC) (“Tournament”) for the Alabama Associated General Contractors (AL AGC). I understand that should I be found in violation of any TOURNAMENT rule, it may result in a penalty, event disqualification, and forfeiture of any prizes earned at the event in which I participated. 3) Indemnification: I also agree to indemnify and defend ALABAMA ASSOCIATED GENERAL CONTRACTORS (AL AGC) against the claims, and other damages, costs and expenses, including reasonable attorney’s fees, resulting from any claim made by me or my agents or successors-in-interest. I understand and agree that under this provision, ALABAMA ASSOCIATED GENERAL CONTRACTORS (AL AGC) will be indemnified by me whether ALABAMA ASSOCIATED GENERAL CONTRACTORS (AL AGC) potential liability for claims has risen as a result of ALABAMA ASSOCIATED GENERAL CONTRACTORS (AL AGC) negligence alone or of co-negligence with me, or the negligence of others, with respect to all claims. 4) Assumption of Risk: I acknowledge that this Event involves certain risks and hazards, including the risk of accidental injury or death, or loss or damage to property, resulting from wild animals, inclement weather, accidents, equipment malfunctions, collisions, falls, drowning, equipment and gear, related injuries or other causes known or unknown to ALABAMA ASSOCIATED GENERAL CONTRACTORS (AL AGC). I also acknowledge that I carry the minimum levels of state mandated liability insurance for any vessel or vehicle that I may operate as a participant in this event. 5) Good Health & Expertise: I attest and verify that I am physically fit, am enjoying good health, and have sufficient expertise and stamina for participation in this Event. I understand that fishing and hunting are physically strenuous activities and that I will be exerting myself during this Event, and that if injured as a result of heart attack, panic, hyperventilation, or any other physical malady, etc., that I expressly assume the risk of said injury. 6) Promotion: I also irrevocably authorize ALABAMA ASSOCIATED GENERAL CONTRACTORS (AL AGC) and any assignee to use my name, voice, likeness, biographical information and/or tips in photography, audio, video, or any other format for publication, advertising, promotional or any other purposes, without restriction as to changes or alterations from time to time. I understand that I will not be entitled to receive any royalties or other compensation in connection with such use. I ACKNOWLEDGE THAT I HAVE CAREFULLY READ, UNDERSTAND, AND AGREE TO ALL CONDITIONS AND TERMS SET FORTH IN THIS AGREEMENT as a condition to participate in this Event. I HAVE CAREFULLY READ THIS AGREEMENT. I UNDERSTAND THAT IT IS A LEGALLY BINDING AND ENFORCEABLE CONTRACT. I SIGN OF MY OWN FREE WILL and intend for my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. Signature(Required)Date(Required) Month Day Year Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Fishing Partner(Required)Fishing Partner is required to fill out their information/wavier First Last FOR A PARENT OR GUARDIAN OF A MINOR CHILD (UNDER 18 YEARS OF AGE)Parent or Guardian's Name(Required) First Name Last Name I, , as the parent or legal guardian of , hereby give my permission for my child or ward to participate in the above event, and further agree, individually and on behalf of my child and ward, to the terms of the above.Signature(Required)Date(Required) MM slash DD slash YYYY Email(Required) Phone(Required)Address(Required) Same as previous address street street2 city AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State zip
