PIEDMONT BASS CLASSICS......2017 SPRING TEAM BASS TRAIL ENTRY FORM......LAKE_____________EVENT DATE___________
ENTRY FEE $110____BIG FISH POT $20____TWT $50____DEPOSIT______......TOTAL PAID________TowBoatsUS_____________
PARTNER #1: (Print)__NAME_______________________________________________PHONE #___________________________
CITY, STATE, ZIP__________________________________________________________________________
PARTNER #2: (Print)__NAME_______________________________________________PHONE #___________________________
CITY, STATE, ZIP_________________________________________________________________________
Having read the rules concerning this tournament & signed this application for entry, I agree to waive & release the sponsors, other
contestants, host marinas & their agents, polygraphers & tournament staff of all claims of personal injury, property damage or loss
thereof, loss of life or any other liability incurred by me or my partner while participating in this event. I agree that the above
statements are true & agree to take a polygraph test if requested & will accept the decision of the polygraph operator & tournament
director thereafter. I also have at least $100,000 in boat liability insurance, current Fishing License, the current Boat Owners
Registration & current ID.
Partner #1 Sign:_______________________________________________________Date:________
Partner #2 Sign:_______________________________________________________Date:________
YEAR MODEL & MAKE OF BOAT YOU ARE USING FOR THIS EVENT:___________________________OWNER____________________
Mail Entries To: Phil McCarson....922 Valetta Rd....Durham, NC....27712--------------Make Check or Money Order out to 'Phil McCarson'
Starting position determined by when entry is received. Flights determined by number of entries. Entries will be taken morning of
the tournament up until blast-off. Others may enter up to 1 hour after blast-off. PLEASE! CASH ONLY AT THE RAMP!
Contact Phone Numbers: 919-471-1571 Home........919-971-5042 Cell
|TO ENTER THE PIEDMONT BASS CLASSICS SPRING TEAM BASS TRAIL':
~Please read the rules first !
~Print out a separate entry form for EACH qualifier you want to fish.
~Fill entry forms out completely and either bring them it me at home or mail them in.
~You can pay a $10 non-refundable deposit for each individual event to hold a starting spot and
pay the balance in full at the boat ramp the morning of the event, or pay in full before event date.
You can also pay at the ramp morning of the event...cash only!
~Fees for the 'Championship' will be taken ONLY the morning of June 17th at Kerr.
~Make all checks or money orders out to: Phil McCarson.
~Please....No phone calls will be taken for entries. Call me, however, if you have
any questions about the events.
~Remember, blast-off starting spots are determined by the date and time I receive
your entry. Championship starting spots will be determined by points.