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San Diego Entry Form
San Diego LAKE: ____________________ Tournament Date: _____________
Boater:
(Please print)

Name: ____________________________ SS#_____________________

Address: ___________________________________________________

City: ________________________State_____ Zip code_____________

Phone (____) _______________________e-mail____________________

Non Boater:

Name: ____________________________ SS#_____________________

Address: ___________________________________________________

City: ________________________State_____ Zip code_____________

Phone (____) _______________________e-mail____________________

Mandatory
Options with 100% payback
Entry $160 *Top Gun (winner takes all) $20
Insurance $10 *Red, White, Blue (winner each flight) $20
Lake fee $8 person ($4 over 65 *Big Bass (pays top 3 big bass) $30
   $7 boat launch *Top 5 (pays top 5 in option) $30
Membership $35 *must be in option to win option money  
Additional family $20    

Total Due $________________ Cash________Check #___________

I/we have completed this application and have submitted the total fees for participation in consideration for the privilege of participating in this tournament. I hereby release all tournament officials and sponsoring organizations from all claims of injury and/or damages incurred in connection with this event. I understand that I must carry my own personal insurance for my boat and the anglers in it.  I understand that I may be subject to a polygraph exam and that National Bass West reserves that right to refuse entry and services to anyone. Tournament director’s decision is final.  Please see the rules for further information.      Please sign below for release

 

_________________________                  ________________________
Boater                                                   Non-boater

San Diego Entry Form

 

National Bass West, Inc.
Phone: 760-497-8238
P.O. Box 1151
Valley Center, Ca. 92082 USA

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