Membership Application 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 37066Member/Applicant's Name* First Last Member/Applicant's Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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 olderI am under 18 years of ageThe 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 competitionI do not own or will NOT use my boat in competitionBoat 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* Date Format: MM slash DD slash YYYY RMOG Volunteer OpportunitiesI 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. CAPTCHA Pay Dues Here
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