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Colorado River Entry Form
Fisher's Landing / Windsor Beach   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) $25
Release boat $5 *Big Bass (pays top 3 big bass) $30
    *Mystery Weight, must be present to win  $20
Membership $35 *Top 5 (pays top 5 in option)  $30
Additional family $20  *must be in option to win option money  

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 may be subject to a polygraph exam and that National Bass West reserves that right to refuse entry and services to anyone. The tournament director's decision is final.  Please see the rules for further information. Please sign below for release
.

_________________________                  ________________________
Boater                                                   Non-boater

 

 

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

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