Application for Entry - Open Division Professional/Open Division All Golfers Tour Association 14272 Wicks Boulevard, San Leandro, CA 94577 Phone: (800) 614-GOLF Facsimile: (510) 352-6658 E-Mail: pepsitour@earthlink.net Website: www.pepsitour.com Tournament Name: 3071-Silverado Country Club and Resort Date: 9/17/2012 Course: Silverado Country Club and Resort Costs: $260 Members / $280 Non Members I hereby apply to enter the tournament(s) described above.I understand that my application is subject to the approval ofAll Golfers Tour Association ("AGTA") in its sole discretion and that it may be rejected without liability at any time, provided, however, that all applications shall be accepted and considerationgiven for entry in the order received without regard to race, religion,color, marital status, gender, ancestry, or national origin. I agree to abide by the policies and procedures of the Pepsi Tour as amendedor supplemented from time to time. I expressly agree to assume all risks associated with the tournament(s) described above and to hold harmless AGTA,the hosting golf course, and their officers, directors, employees, and agents from any and all claims or causes of action, including attorneys' fees and court costs, on account of any injuries or damages I may sustain or cause in connection with such tournament(s). In consideration of AGTA's approval of my application for entry, I expressly grant and assign to AGTA the right to use my name, personal likeness, voice, and autobiographical material in connection with advertisements, promotions, and publicity for the Pepsi Tour and the tournament(s) described above.