2010 CCBA MEMBERSHIP APPLICATION

	I hereby make application for membership in the Collin County Bowhunters Association.  I will uphold and follow all rules and regulations of CCBA.  I understand that as a member I will have full use of the practice range year round without any additional fees.  I also understand that I will get discounted tournament fees.

Working Membership Fees: $10.00 Individual/ $15.00 Family per year.
	As a Working Member, I agree to work both days of 1 Club Tournament each year and a minimum of 1 Range Maintenance Work Day during the year.  I also understand that working a tournament includes setting up the targets prior to the start of the event, signing up contestants and keeping all the required records, operating the concession stand sales and cooking, and picking up the targets at conclusion of the tournament. 

Non Working Membership Fees: $100.00 Individual/$105.00 Family
	Non Working Members have full use of the range year round as well as the discounted tournament fees.  No work is required.

Please PRINT LEGIBLY the following information.  Date of Birth is required by our Insurance Company before membership can be approved.

	Circle One:		Working		Non-Working 
	Circle One:		Individual		Family
	Full Name: ______________________________	Date of Birth__________
	Spouse Name_____________________________
	Children’s Names_______________________________________________
	_____________________________________________________________
	Mailing Address________________________________________________
	City, State, Zip ________________________________________________
	Home Phone __________________________Other Phone______________
	E-Mail Address________________________________________________
Amount Paid____________(Cash) (Check)	Received By____________________
Applicants Signature__________________________________________________

Mail Application and Insurance Release Form to:
Billy Sandlin
P.O. Box 1332
Princeton, Texas 75407

2010 CCBA Insurance Release
PLEASE PRINT LEGIBLY IN INK

Full Name:  ____________________________   Spouse’s Name _________________________________

Address: _______________________________________________________________________________

City:  ___________________________________________________  State:  _______  Zip: ____________

Telephone # 	Home: _________________			Work: ______________________

E-Mail Address:  ________________________________________________________________________

Releasor hereby releases Releasee its officers, agents, board members, club members, volunteers, their heirs, administrators and executors, (herein collectively referred to as “Releasees”).

Releasor, being of lawful age, (or, in the case of a minor, through his/her parent or guardian) in consideration of being permitted to participate in various shooting disciplines and activities at the Releasees Facility, either as a member or guest, do for myself, my spouse, legal representatives, heirs, assigns and subrogors, hereby release, waive and forever discharge Releasees from any and all liability for any and all losses and damages of any type or kind, and from any and all claims, suits, demands, actions or rights of actions, of whatever kind, either in law or equity, arising from or by reason of death, personal injury known or unknown, or property damage resulting from any incident which may occur during Releasor’s presence at the Releasees Facility, and/or participation in any activity, whether caused in whole or in part by the Releasees or any other person or thing at the host while Releasor is present.  Releasor, and his/her parent or guardian in the event Releasor is a minor, agree to fully indemnify, defend and hold Releasees harmless for all Releasor’s actions or omissions while at the host.  There is no limit to this indemnity.
	Releasor assumes full responsibility for the risk of bodily injury, death or property damage due to the negligence of the Releasees or any other third party or thing while at the Releasees Facility, and while competing, officiating, working, spectating, or for any purpose at the Releasees Facility.
	Releasor fully and completely releases the Releasees and any of its related parties or and from all liability to Releasor and to anyone or any entity claiming by, through or under Releasor, by subrogation or otherwise, it being Releasor’s intent to fully waive and release all subrogation rights.
RELEASOR AGREES THAT THIS RELEASE CONSTITUTES THE ENTIRE AGREEMENT BETWEEN RELEASOR AND RELEASEES AND THE TERMS OF THIS RELEASE ARE CONTRACTUAL AND NOT A MERE RECITAL, AND THE SAME SHALL CONTINUE IN FULL FORCE AND BE APPLICABLE TO ANY AND ALL ACTIVITIES RELEASOR ATTENDS WHILE AT THE RELEASEES FACILITY.
	Releasor agrees that this Release Agreement is intended to be as broad and inclusive as permitted by law and that if any portion hereof is held invalid, the balance hereof will continue in full force and effect.
RELEASOR HAS CAREFULLY READ THIS RELEASE AND UNDERSTANDS ALL OF ITS TERMS.  RELEASOR EXECUTES THE SAME VOLUNTARILY AND WITH FULL KNOWLEDGE OF ITS CONTENT AND SIGNIFICANCE.
In Witness Whereof, Releasor has executed this Release on this ______ day of ________________________20____.
__________________________________________________         _______________________________________
(Releasor – your signature acknowledges receipt of document)                                  (Witness signature)
__________________________________________________          Minor’s age _____
(Signature of parent or guardian of any member or visitor under the age of 18 years)