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San Diego LAKE: ____________________ Tournament Date: _____________
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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____________________ |
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Mandatory |
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Options with 100% payback |
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| 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) |
$20 |
| |
$7 boat launch |
*Top 5 (pays top 5 in option) |
$30 |
| Membership |
$35 |
*Mystery weight must be present to win |
10 |
| Additional family |
$20 |
*must be in option to win option money |
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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 | 
