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 |
|
95% paid back to the angler**
Entry $400
Insurance $10
special permit fee $5
Membership $35
Additional family $20
|
*Big Bass (pays top 3 big bass) $50
* Big Stringer each day $35
*must be in option to win option money |
Special Lake Fee and TOC information
Special lake fee is charged by the lake. IF the lake charges us a fee, the fee will be between $5-$10 per team. When the fee is paid, the “extra money” will be paid 100% back to the anglers.
**$50 is held back out each entry to be paid back 100% to the anglers at the TOC on May 15/16, 2010 at Lake Shasta
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, 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
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