Sign-Up Fishing Tournament Sign-Up And Liability Release RUSSO CORPORATION FAMILY & FRIENDS BASS TOURNAMENT LIABIITY RELEASE FORMI,* First Name Last Name 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 RUSSO CORPORATION and its 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 RUSSO) 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 RUSSO for the RUSSO FAMILY & FRIENDS BASS TOURNAMENT. 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 RUSSO CORPORATION 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, RUSSO CORPORATION will be indemnified by me whether RUSSO CORPORATION’S potential liability for claims has risen as a result of RUSSO CORPORATIONS 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 RUSSO CORPORATION. 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 RUSSO CORPORATION 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. 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*Date* MM slash DD slash YYYY Email Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Fishing Partner* First Name Last Name Fishing partner is required to fill out their information/ waiverFOR PARENT OR GUARDIAN OF A MINOR CHILD (UNDER 18 YEARS OF AGE)I, First Name Last Name as parent or legal guardian of the above named minor, 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(Signature of minor’s parent or guardian)Date MM slash DD slash YYYY Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Δ