2010 Entry Form

Warbird 2010 Entry Form

Membership $35.00 Per Person

Tournaments Entry $100.00 Per Event

Captain Partner

Name_________________________________ Name___________________________________

Address_______________________________ Address__________________________________

City____________State___Zip________City_____________State______Zip___________

Social Security # Social Security #

(Required)__________-________-__________ (Required)__________-_________-__________

Phone(______)______-___________ Phone(______)_______-_____________

Email_________________________ Email_____________________________

Liability: In Consideration of me being allowed to participate in any Warbird Double Down Tournament, I acknowledge and agree that the risk of injury, disability, death including the loss of person and / or property are great and if I participate in this event: although safety rules, equipment required to participate and my own personal diligence may reduce the risk somewhat, risk of personal injury to me and other including death still exist. By me or my partner signing this form we are stating that we have read and understand the rules and accept all risks both known and unknown. I, on behalf of myself, my heirs and personal representatives hereby release all, indemnify and hold harmless Warbird Outdoors, Terry Olinger Outdoors, its officers, directors, sponsors, partners and advertisers for any and all injuries, disability, death or loss / damage to any personal property which I may suffer or which I may have found to occur either from negligence, misconduct or by the negligence of any parties involved. I understand the rights that I have given up by signing this agreement.

Date_______________________ Date__________________________

Signature________________________________ Signature_____________________________

Make Checks Payable and mail to:

Warbird Outdoors

Atten: Terry Olinger

2627 Hanco Center Dr

Woodbridge, Va. 22191

Phone 540-270-7806

E-mail: sales@warbirdoutdoors.com