GREEN PASTURE BASS CLUB MEMBERSHIP APPLICATION Name:_______________________________________________________ Address:_________________________________________________

CITY _____________________ STATE_________ZIP CODE_________

CELL PHONE:_______________________________________________

E-Mail:______________________________________________________ Family Members Name(s)

1:__________________________________________________________

2:__________________________________________________________

3:__________________________________________________________ 4:__________________________________________________________

Membership fees of $20.00 per year per family:

A family is defined as any member of a household that lives with the member to include spouse, children and any children in college or armed services.

I agree to follow All Federal, State, and Local laws while fishing any Green Pastures Fishing Tournaments and the rules of the Green Pastures Bass Club. I hereby release the Green Pastures Bass Club, its directors and members of any and all liabilities and fully understand that I am responsible for my actions. All Jr members must fish with a Parent or Guardian and are the sole responsibility of the Parent or Guardian. In case of bad weather it is the individuals decision to fish or not. The Green Pastures Bass Club, its directors or members will not be responsible for any accidents resulting from fishing any of its tournaments. I agree to all terms of membership to the Green Pastures Bass Clu

MEMBERS SIGNATURE:  x__________________________________________________________

DATE: _______________________________

Directors:

BRENT WALDON 432-276-9257 PRESIDENT

GLEN MCCULLOUGH 806-787-9959 V-PRESIDENT

HUD HUTTLESTON 806-777-9640 TREASURE

MICHEAL HEAD 325-207-2430 WEIGH MASTER