THSBA, P.O. Box 1498, Forney Texas, Phone: WELCOME TO THE TEXAS HIGH SCHOOL BASS ASSOCIATION!

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1 WELCOME TO THE TEXAS HIGH SCHOOL BASS ASSOCIATION! FIRST OF ALL, we want to thank students, parents, captains and club advisors for making the season such a great success! We presented 114 scholarships which totaled over $130,000 for students to start their college careers. The THSBA is now the largest high school tournament bass fishing organization in Texas. We are excited to start our fifth year with many exciting changes. This year our organization is providing $1,000,000 liability insurance and $25,000 excess medical insurance for our members (please see frequently asked questions page below). Membership is $60 total per student for the year September 2017 thru August of 2018 which will include insurance and membership. With the tremendous increase of clubs and teams in the THSBA, we saw that we had to add more divisions. This in itself will keep driving time down for open tournaments and make them more manageable for our staff. We now will have six divisions, three regional championships and one state championship. With the increase in the number of open tournaments, the THSBA saw the need to update and increase our ability to put on multiple tournaments on the same date, so we have purchased two new weigh in trailers. Tournament entry fees will be $60 per team to help grow the THSBA. We have added a full time administrative staff member to handle membership link tournament entries, and processing of on-line merchandise sales. We will have a merchandise on our website with an order form and instructions for ordering. Our merchandise will still be available for purchase at the tournaments as well. Please keep in contact with changes in tournament sites, special announcements, entry due dates, and general information by checking our website, or on our Facebook page. The Tournament Director will be the contact person at each of our tournaments for any last minute changes to events. Please note: ALL membership, captain information and tournament entry forms will now be sent to: THSBA, P.O. Box 1498, Forney Texas, Phone: Our new address is: bass@thsba.net

2 Advisor Check List for Membership Packet Completely enter all club (high school) contact information and Advisor s address, phone and on application. Enter each member s name, birthday, grade level, address, home address, parent name and phone number. If you have students join your club though out the year, you will provide the same paperwork to the THSBA office for each student. Have high school registrar or school official verify enrollment on bottom of the Membership Roster page where indicated. If you have a Home Schooled or Out of District angler, you must include the completed Home School & Out of District Student Roster form included in the membership roster document. Make sure there is an enclosed separate signed Student Release of Liability for each member. Be sure parents have signed this Student Release of Liability. Any student that is not enrolled and wants to fish in your club MUST have THSBA board approval. Make sure that you enclose $60.00 dollars for membership and insurance per student. (Cash, Check, Money Order) Make checks payable to THSBA or Texas High School Bass Assn. Please document on the membership roster each check number if paid individually or by one draft. You will need to include your Boat Captain Release of Liability with your application. Note: you may send Boat Captain Release of Liability later as you add boat captains. throughout the season. We must have a Boat Captain Release of Liability on record before they are allowed to volunteer. MAKE COPIES FOR YOUR FILES and send original membership application with check to THSBA, P.O. Box 1498, Forney, Texas Please allow 7 to 10 days processing. Membership cards will be sent to the Advisor s home address. Tournament entries MUST BE postmarked the Friday, eight (8) days prior to each event. A $20 late fee will be charged if not post marked by that date. Make sure entries are clearly filled out with division, lake and date. INCLUDE ALL SIGNATURES. Refer to event lake itinerary for specific rules and regulations. The Tournament Director s name and phone number will be listed there. Be sure to note our new address: bass@thsba.net Phone:

3 Texas High School Bass Association OFFICE USE ONLY School Application & Student Certification Name of Club (High School): Address: City, State, Zip: Club Advisor/Coach: Address: City, State, Zip: Contact #: I submit our application with the Texas High School Bass Association and agree to the objectives, rules, and purposes of the THSBA. Club Advisor/Coach's Signature: Please list every student on your roster on the following page(s). PLEASE complete all information legibly. Include $60 to cover dues and insurance PER STUDENT. EACH STUDENT PARTICIPANT MUST HAVE A COMPLETED AND SIGNED RELEASE OF LIABILITY TURNED IN WITH THIS MEMBERSHIP APPLICATION. MAKE CHECK(S) OUT TO THSBA AND MAIL TO: THSBA - P.O. BOX FORNEY, TX The roster of students attached below are fully enrolled in High School and are current with all grade points. Registrar/School Official's Name: Registrar/School Official's Signature: Date:

4 STUDENT INFORMATION: STUDENT INFORMATION: STUDENT INFORMATION: Student Member Roster STUDENT INFORMATION: MAKE ADDITIONAL COPIES AS NEEDED

5 Home School & Out of District Student Roster Please list all students who are members of your team but do not attend the host school. This includes home school or out district students who attend a school with no fishing team. These students MUST be approved by the host school's Board of Trustees before they can fish. They must also meet all academic eligibilty requirements as required by THSBA The student(s) listed below are fully enrolled in High School and are current with all grade points. Registrar/School Official's Name: Registrar/School Official's Signature: Date: ACADEMIC ELIGIBILITY FOR THESE STUDENTS MUST BE VERIFIED AND SUBMITTED WITH THE FORM FOR YOUR ENTIRE TEAM! STUDENT INFORMATION: IS STUDENT HOME SCHOOLED: or SCHOOL DISTRICT ENROLLED AT: STUDENT INFORMATION: IS STUDENT HOME SCHOOLED: or SCHOOL DISTRICT ENROLLED AT: MAKE ADDITIONAL COPIES AS NEEDED

6 THSBA - Texas High School Bass Association STUDENT RELEASE OF LIABILITY READ BEFORE SIGNING EACH MEMBER AND PARENT MUST SIGN THIS RELEASE OF LIABILITY AND IT MUST ACCOMPANY YOUR MEMBERSHIP ROSTER IN CONSIDERATION for permission to voluntary participate in tournaments, events, programs and related activities conducted by the Texas High School Bass Association, acknowledge, appreciate and agree that: 1. The risk of injury, disability, death, loss or damage to my person or property from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment and personal disciple may reduce this risk, the risk of serious injury does exist, and, 2. I have been advised by the THSBA and have had the opportunity to seek legal counsel with respect to the legal effect of this document; and, 3. I KNOWINGLY AND FREELY ASSUME ALL RISKS REFFERRED TO ABOVE, BOTH KNOW AND UNKOWN, EVEN IF ARISING FROM THE NEGLIGENCE OF THE TEXAS HIGH SCHOOL BASS ASSOCIATION, THEIR OFFICERS, OFFICIALS, DIRECOTES, BOAT CAPTAINS, SHAREHOLDERS, AGENTS, AND/OR EMPLOYEES,OTHER PARTICIPANTS, AND SPONSORING AGENCIES, SPONSORS, ADVERTISERS, AND IF APPLICABLE, OWNERS AND LESSORS OF PREMISES AND PROPERTY USED TO CONDUCT THE EVENT ( RELEASSES ) OR OTHERS, AND ASSUME FULL RESPONSIBILITY FOR RISKS ARISING FROM MY PARTICIPATION; AND, 4. I willingly agree to comply with the terms 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 immediate attention of the nearest official, and, 5. I, FOR MYSELF AND ON BEHALF OF MY HEIRS,ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS RELEASEES, WITH RESPET TO ANY AND ALL INJURY, DISABILITY, DEATH. OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHICH I SUFFER OR WHICH I AM FOUND TO HAVE CAUSED INWHOLE OR IN PART BY MY NEGLIGENCE OR INTENTIONAL MISCONDUCT, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES, OR OTHERWISE, TO THE FULLEST EXTENT PERMITTED BY LAW. 6. I agree to submit to a truth verification test administered by Texas High School Bass Association and understand that failure to pass the examination as determined by Texas High School Bass Association will result in disqualification. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK, AGREEMENT AND THE ATTACHED RULES. I FULLY UNDERSTAND THE TERMS AND UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS RELEASE, AND SIGN IT FREELY AND VOLUNTARILY. PUBLICITY: In consideration for permission to voluntarily participate in the tournaments, events, programs and related activities conducted by THSBA. I ( Participant ) hereby grant to THSBA, their assignees and/or licenses (collectively Sponsors including television production companies contracted by Texas High School Bass Association, the unconditional right to use my name, voice, photographic likeness, biographical information, fishing tips and/or instructions in any medium whatsoever, including but not limited to video/audio productions, merchandising, promotions, articles, and/or press releases, in connection with THSBA tournaments, events, programs and related activities conducted by THSBA 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. If Participant wins any event, the Participant s name, likeness and biographical information may be used in connection with advertising and promotion. The Participant s specifically consents and agrees to such use without restriction as to changes or alterations from time to time, and further understands and agrees that any use will be without payment of any royalties or any additional compensation to Participant. The Participant signifies by his/her signature below that he/she has read and understands the foregoing provisions. AGE: BIRTHDATE: PARTICIPANT S SIGNATURE PRINT PARTICIPANT S NAME HERE FOR PARENTS/GUARDIANS OF PARTICIPANTS UNDER AGE 18 AT TIME OF REGISTRATION: I, AS PARENT/GUARDIAN DO HEREBY CERTIFY THAT I HAVE LEGAL RESPONSIBILITY FOR THE PARTICIPANT AND I AGREE AND CONSENT TO HIS/HER RELEASE AS PROVIDED ABOVE OF ALL THE RELEASEES, AND, FOR MYSELF, MY HEIRS, ASSIGNS, AND NEXT OF KIN, I RELEASE AND AGREE TO INDENMIFY AND HOLD HARMLESS THE RELEASEES FROM ANY AND ALL LIABILITIES INCIDENT TO MY MINOR CHILD S OR WARD S INVOLVEMENT OR PARTICIPATION IN THESE PROGRAMS AS PROVIDED ABOVE, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES, TO THE FULLEST EXTENT PERMITTED BY LAW. PARENT/GUARDIAN S SIGNATURE DATE: PRINT PARENT/GUARDIAN S NAME HERE EMERGENCY PHONE # (s) ADDRESS:

7 THSBA Texas High School Bass Association CAPTAINS RELEASE OF LIABILITY - READ BEFORE SIGNING IN CONSIDERATION for permission to voluntarily participate in tournaments, events, programs and related activities conducted by Texas High School Bass Association, I acknowledge, appreciate and agree that: 1. The risk of injury, disability, death, loss or damage to my person or property from the activities involved in this program 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, 2. I have been advised by Texas High School Bass Association, and have had the opportunity to seek legal counsel with respect to the legal effect of this document; and, 3. I KNOWINGLY AND FREELY ASSUME ALL RISKS REFERRED TO ABOVE, BOTH KNOWN AND UNKNOWN, EVEN IF ARISING FROM THE NEGLIGENCE OF Texas High School Bass Association, THEIR OFFICERS, OFFICIALS, DIRECTORS, SHAREHOLDERS, AGENTS, AND/OR EMPLOYEES, OTHER PARTICIPANTS, AND SPONSORING AGENCIES, SPONSORS, ADVERTISERS, AND, IF APPLICABLE, OWNERS AND LESSORS OF PREMISES AND PROPERTY USED TO CONDUCT THE EVENT ( RELEASEES ) OR OTHERS, AND ASSUME FULL RESPONSIBILITY FOR RISKS ARISING FROM MY PARTICIPATION; AND, 4. I willingly agree to comply with the terms 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 immediate attention of the nearest official; and, 5. I, FOR MYSELF AND ON BEHALF OF MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS RELEASEES, WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHICH I SUFFER OR WHICH I AM FOUND TO HAVE CAUSED IN WHOLE OR IN PART BY MY NEGLIGENCE OR INTENTIONAL MISCONDUCT, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES, OR OTHERWISE, TO THE FULLEST EXTENT PERMITTED BY LAW. 6. I agree to submit to a truth verification test administered by Texas High School Bass Association and understand that failure to pass the examination as determined by Texas High School Bass Association will result in disqualification. 7. As the only authorized operator of the boat provided for all Texas High School Bass Association tournaments, I have inspected and acknowledge that the watercraft provided is sea worthy and meets all current U.S. Coast Guard safety requirements. Furthermore, I understand that the same watercraft provided must meet the minimum length limits, combustion engine design restrictions, hull design requirements, minimum and or maximum horsepower ratings, and be appropriately equipped to ensure the safety of any and all student anglers participating as outlined by the THSBA tournament rules and guidelines. I agree to have the watercraft inspected at any time by a designated Texas High School Bass Association Tournament Director for any and all tournaments. I further agree to provide acceptable limits of liability insurance on this same watercraft as determined by the Texas High School Bass Association. $300, Liability is required of all boat captains. Captains may be asked to show proof of insurance at any time. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT AND THE ATTACHED RULES. I FULLY UNDERSTAND THE TERMS AND UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS RELEASE, AND SIGN IT FREELY AND VOLUNTARILY. PUBLICITY: In consideration for permission to voluntarily participate in the tournaments, events, programs, and related activities conducted by THSBA, I ( Participant ) hereby grant to THSBA and their assignees and/or licenses (collectively Sponsors including television production companies contracted by THSBA, the unconditional right to use my name, voice, photographic likeness, biographical information, fishing tips and/or instructions in any medium whatsoever, including but not limited to video/audio productions, merchandising, promotions, articles, and/or press releases, in connection with THSBA tournaments, events, programs and related activities conducted by THSBA 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. If Participant wins any event, the Participant s name, likeness and biographical information may be used in connection with advertising and promotion. The Participant specifically consents and agrees to such use without restriction as to changes or alterations from time to time, and further understands and agrees that any use will be without payment of any royalties or any additional compensation to Participant. I UNDERSTAND THAT PRIOR TO BECOMING AN APPROVED BOAT CAPTAIN, I MUST PASS A BACKGROUND CHECK FROM THE RESPECTIVE HIGH SCHOOL WITH WHICH I PARTICIPATE. THIS BACKGROUND CHECK MUST BE COMPLETED PRIOR TO THE PARTICIPATION DATE OF ANY TOURNAMENT. I WILLFULLY AGREE TO SUBMIT TO THIS BACKGROUND CHECK AND WILL ABIDE BY THE FINDINGS AND DECISIONS OF SCHOOL OFFICIALS WITH REGARD TO THE RESULTS. SHOULD I BE APPROVED AS A BOAT CAPTAIN, IF AT ANY TIME MY WORDS, ACTIONS, OR COMMENTS ARE DETERMINED TO BE UNACCEPTABLE BY THE STUDENT ANGLERS, PARENTS, SCHOOL OFFICIALS, OR THE TEXAS HIGH SCHOOL BASS ASSOCIATION OFFICIALS, I UNDERSTAND THAT I WILL BE REMOVED AS AN APPROVED BOAT CAPTAIN FOR ANY AND ALL FUTURE EVENTS. The Participant signifies by his/her signature below that he/she has read and understands the foregoing provisions. AGE: DATE: BOAT CAPTAIN SIGNATURE PRINT BOAT CAPTAIN NAME HERE PHONE # MAKE OF BOAT: TX NUMBER:

8 TEXAS HIGH SCHOOL ANGLERS ASSOCIATION FREQUENTLY ASKED QUESTIONS (FAQ) $1,000,000 LIABILITY POLICY COVERAGE 1. Does the liability cover events? THSBA divisional, regional and state championship tournaments, club meetings, tournaments, functions, banquets, charity events, board meetings, youth, social, conservation and other social events. ANSWER: Yes, your official THSBA events are covered; you should document all Official events in your meeting minutes. 2. Does it provide Indemnification of officers? ANSWER: Officers are Insureds under the policy. The policy responds to claims arising from bodily injury, property damage, personal injury and/or advertising injury to third parties. 3. Who is covered, THSBA affiliated individuals, clubs, officers? ANSWER: All of the above as THSBA members for actions relating to activities being performed on behalf of or in conjunction with the THSBA. 4. Does this insurance function as a primary or secondary insurance. i.e. does the boaters insurance come into effect first if there is an incident? ANSWER: This policy does not replace the boat owners need to purchase liability insurance. We require boat captains to have $300,000 of liability insurance. The boat owner s policy is primary. In the event a loss exceeds the boat owner s policy limit, this insurance will not act as excess for the boat owner. The coverage provided by this policy is for THSBA clubs and members, not individual boat owners in this instance. 5. Can you give examples of what type of claims might be covered by this policy? ANSWER: Claims resulting from Bodily Injury, Property Damage, and Personal Advertising Injury to 3 rd parties. 6. Who is covered during a THSBA sanctioned tournaments? ANSWER: There is coverage for THSBA members relating to sanctioned tournaments. There is no coverage for non-members. However, there is still coverage for a THSBA member that is named in a suit arising from the action of a non-member. 7. Will we be covered during an event for which we charge general admission? ANSWER: Yes 8. What is the coverage for us if we participate in an outdoor show? ANSWER: Generally speaking, if you are participating in a show by having a booth, the policy would provide coverage for Bodily Injury and Property Damage for claims arising from activities in around your booth. 9. Do we need to list an insurance certificate for all chapter events now before they occur? ANSWER: No, just document it. I.E. in your meeting minutes, etc. that it is an official function and it s covered. Insurance certificates are only needed when a 3 rd party not connected with the THSBA, is requiring them of you to hold an event. 10. Is this $1,000,000 for each occurrence? ANSWER: Yes 11. Can an individual who is a THSBA member be sued by another individual THSBA member? ANSWER: Yes, however, this policy does not provide coverage for suits between individual members. 12. Who do we call/contact if we have questions, regarding what s covered and what s not covered? ANSWER: Send your request to Daryl@chappellinsurance.com /

9 13. Does the insurance cover our members when they travel across the state to compete in a THSBA tournament? ANSWER: Coverage is provided for Bodily Injury, Property Damage, Personal Injury or Advertising Injury arising from member s actions on behalf of the THSBA. Coverage is not provided for injury to the members themselves. 14. Does this insurance cover volunteers helping at our events? ANSWER: Yes, volunteer workers are covered but only while performing duties related to THSBA business. Be sure to obtain a signed waiver from all participants and volunteers at least once a year. FAQ - $25, EXCESS MEDICAL INSURANCE 1. Who does this insurance cover at our events? (member s, non-members, volunteers, general public?) ANSWER: Accidental medical coverage is provided to the participants taking part in fishing THSBA tournaments, affiliated THSBA tournaments, awards ceremonies, banquets, meetings, and occasional fundraising activities by the THSBA and affiliated clubs. 2. What does this insurance cover? ANSWER: Bodily injury which meets all of the following conditions 1.) cause solely by an accident; 2.) results in loss or expense covered on the policy; 3.) the injury, loss or expense may result from sickness, disease, or bodily infirmity, or from any cause other than an accident. 3. When does the insurance cover? ANSWER: Accident medical coverage provides a limit of $25,000 subject to a deductible of $250. Accident medical coverage is provided during THSBA fishing tournaments, events, affiliated club tournaments, awards ceremonies, banquets, meetings and occasional fund raising activities. Should an incident occur other than during those activities, coverage will be denied. This is not a 24/7 coverage. This is not a 24/7 coverage. FAQ - $10, ACCIDENTAL DEATH & SPECIFIC LOSS COVERAGE 1. Who does this insurance cover? ANSWER: Accident Death and Specific Loss (AD&SL) coverage is provided to the member taking part in fishing THSBA fishing tournaments, events, affiliated club tournaments, awards ceremonies, banquets, meetings and occasional fund raising activities. Participants are considered to be THSBA members, volunteers, and officials taking part in covered activities. A bystander or spectator of a covered event is not covered by the accident medical coverage and is not considered an eligible person. 2. What does this insurance cover? ANSWER: Accidental Death (AD) benefit provides coverage if, as a result of injury, an insured dies within one year from the date of the accident causing injury. The loss is subject to the overall maximum for any one accident, the death benefit which applies less any specific loss benefit paid of the same accident. Specific Loss (SL) benefit provides coverage if, as a result of injury, an insured suffers specific loss within one year from the date of accident causing the injury. Specific Loss means the total, permanent, and irrecoverable loss of a 1.) a natural arm or leg severed at or above the elbow or knee joint; 2.) a natural hand or foot severed at or above the wrist or ankle joint; 3.) the entire sight of an eye, entire speech, or entire hearing of an ear; or 4.) a natural thumb or index finger severed above the joints which attach them to the hand. 3. When does this insurance cover? ANSWER: AD&SL coverage provides a limit of $10,000 for any one accident. Coverage is provided during THSBA fishing tournaments, events, affiliated club tournaments, awards ceremonies, banquets, meetings and occasional fund raising activities. Should an incident occur other than during those activities, coverage will be denied. This is not 24/7 coverage.

10 Texas High School Bass Association Board of Directors for Tim Haugh President/Tournament Director: Houston and Northeast Division s , thaugh@asbtx.com Ken Starling - Vice President , starlingelectric68@yahoo.com Steve Holland Treasurer , sholland@kaufman-isd.net Matt Tolnay Tournament Director/Board Director: Central, West and North Texas Division s , matthew.tolnay@gmail.com Taylor Hardin Board Director: Central, West and North Texas Division s , taylor.hardin51@yahoo.com Gereta Brown Secretary, Tournament Director/Board Director: East Division , gereta@peoplescom.net Holly Mischnick Tournament Director/Board Director: East Division , hollym@plano.gov Henry Burns Board Director: Houston Division , hburns@conroeisd.net Russell Traylor Board Director: Houston Division , rustraylor@hotmail.com Glenda Holland Administrative Assistant, Non-Profit Budget and Angler Scholarships , bass@thsba.net Kathy Roberts Administrative Assistant, Membership, Tournament Entries and Online Sales , bass@thsba.net