Membership Application – REEL MEN OF GOD

Membership Application and Tournament Waiver/Release Form

You may complete and submit this form along with payment online, or just complete and submit the form and mail payment by check. Make checks payable to Reel Men of God, and mail them to the following address:
Reel Men of God
c/o Travis “Chip” Hearn
109 Lake Point Drive
Gallatin, TN 37066

Member/Applicant's Name*

First Last

Member/Applicant's Address*

Street Address Address Line 2 City State ZIP Code

Member/Applicant's Email*

Enter Email Confirm Email

Member/Applicant's Cell Phone*

Member/Applicant's Age*

PARTICIPANTS UNDER THE AGE OF EIGHTEEN YEARS must have a parent’s or legal guardian’s permission to participate in any REEL MEN OF GOD event.

I am 18 years of age or older
I am under 18 years of age

The above-mentioned member/registrant, being under 18 years of age, has my permission to participate in Reel Men of God events, and I consent and agree to the terms of the waiver/release as stated below.

Parent/Guardian' Name*

First Last

Parent/Guardian's Email*

Parent/Guardian's Phone*

Call this number to verify permission or for emergencies.

Boater/Non-boater*

I own a boat that I will use in competition
I do not own or will NOT use my boat in competition

Boat Make, Model & Year (if applicable)

Boat Color (if applicable)

Boat Insurance Company*

Boat Insurance Policy Number*

Emergency Contact's Name*

First Last

Emergency Contact's Phone*

Release of Liability and Assumption of Risk Agreement

Read carefully before submitting.

In consideration of being allowed to participate in any Reel Men of God event or activity, and understanding that Reel Men of God is a non-profit organization, I acknowledge, appreciate, and agree that:

The risk of injury from fishing, boating, and other known and unknown events and activities and/or the use of related equipment, bodies of water, land, and property is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
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,
I willingly agree to comply with the stated and customary terms, rules, regulations, 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 nearest official immediately; and,
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS REEL MEN OF GOD, its officer, directors, officials, agents, employees, volunteers, members, guests, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of real property and personal property used to conduct the events and activities(“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, TO THE FULLEST EXTENT PERMITTED BY LAW.
I covenant that, if my boat is used in any Reel Men of God event or activity, I have obtained liability insurance for the use of my boat and fishing equipment that provides coverage in an amount not less than $50,000 for personal injuries and property damage.
I have obtained, read, and understand the rules associated with EACH event in which I plan to participate.
Reel Men of God is a ministry organization based on Christian principles. All members are expected to conduct themselves in a manner exhibiting these values at all times, upholding the highest levels of character and integrity. No alcohol or illegal substances are allowed at any event. Membership fees are waived for any child 15 years of age and younger, but he may fish a Reel Men of God event only with his father who is a paid Member.

By submitting this form, I acknowledge that I have read and understand this Release of Liability and Assumption of Risk Agreement and freely, voluntarily, and without inducement agree to be bound by all its terms and conditions, understanding that in doing so I give up substantial rights.

Member/Applicant's Digital Signature*

I have read the Release of Liability and Assumption of Risk Agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement. To sign, type your legal name with a slash before and after (Example: /John Doe/).

Member/Applicant's Digital Signature*

I have read the Release of Liability and Assumption of Risk Agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement. To sign, type your legal name with a slash before and after (Example: /John Doe/).

Parent/Guardian's Digital Signature*

My digital signature, below, constitutes my permission for the Member/Applicant of whom I’m a parent or guardian to participate in Reel Men of God activities, and it verifies that I have read the release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement. To sign, type your legal name with a slash before and after (Example: /John Doe/).

Agreement Date*

RMOG Volunteer Opportunities

I am willing to serve in the following ways (Check all the apply):

Lead a ministry moment/event devotional
Pre-tournament Blast-off duties
Post-tournament check-in/weigh-in duties
Service/Youth Event Participation
January Seminar Setup/Teardown
I’d like to have a private discussion with a RMOG member regarding my relationship with or understanding of Jesus Christ.

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Membership Application and Tournament Waiver/Release Form

Release of Liability and Assumption of Risk Agreement

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