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YAMAHA
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YAMAHA
"BASSIN BARRA CLASSIC"
Team Name......................................................................................................................
Competitor One Competitor Two
Name............................................................................... Name...............................................................................
Address........................................................................... Address...........................................................................
......................................................................................... .........................................................................................
Phone............................... Mobile ............................... Phone............................... Mobile ................................
Email............................................................................... Email..................................................................................Competitor Three Competitor Four
Name............................................................................... Name...............................................................................
Address........................................................................... Address...........................................................................
......................................................................................... .........................................................................................
Phone............................... Mobile ............................... Phone............................... Mobile ................................
Email............................................................................... Email..................................................................................
ALL ENTRANTS $85.00
Venue/Round.......................................................................................
Acceptance of conditions and indemnification:
(please note: this is a contract that limits your right to take legal action!)
I being the person whose name and address appear above, have fully read and understand the conditions of
entry. I agree and do abide by these conditions and fully accept as part of my entry. I agree not to take or be
a party to any action, or allow any party to act through me or on my behalf, against the organisers of the event
on any matter to the conduct of the related event or occurrences during the event. I agree to indemnify the
organisers of the event against any cost, expenses, damages or awards made against them in relation to any
action taken by me or on my behalf or in relation to any claim I may make.
I agree to these conditions and this acceptance may and will be pleaded as a bar to action in any forum,
tribunal or court. I also agree to allow the organisers to use my name, images and results to promote the
tournaments and their sponsors.
In summery I here by agree to abide by the rules of the competition, be responsible for my own actions and
contract not to take legal action against the organisers for any reason and to indemnify the organisers against
such action.
I agree to enter entirely at my own risk.
I agree to abide by all the rules set by BASSIN QLD SERIES.
Competitor One signature Competitor Two signature
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Competitor Three signature Competitor Four signature
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*NOMINATION FEE DOES NOT INCLUDE CAMPING OR FISHING PERMIT FEES….Please make cheques payable to:
BASSIN QLD SERIES
P.O. BOX 1330
GOONDIWINDI QLD 4390
Postal entries close two weeks prior to competitions.
Nominations are still accepted upon arrival prior to commencement of the competition.