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Summer Nights Entry Form
Diamond Valley Summer Nights Entry Form
DIAMOND VALLEY 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 100% payback
Entry $160 *Top Gun (winner takes all) $30
Insurance $10 *Red, White, Blue (winner each flight) $20
Special Event Fee $30 *Big Bass (pays top 3 big bass) $30
    *Top 5 (pays top 5 in option) $30
    *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 Inc. 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

Summer Nights Entry Form