ENTRY FEE $110____BIG FISH POT $20____TWT $50____DEPOSIT______......TOTAL PAID________

PARTNER #1: (Print)__NAME_______________________________________________PHONE #___________________________
   CITY, STATE, ZIP__________________________________________________________________________
   EMAIL ADDRESS:_________________________________________________________________________

PARTNER #2: (Print)__NAME_______________________________________________PHONE #___________________________
   CITY, STATE, ZIP_________________________________________________________________________
   EMAIL ADDRESS:_________________________________________________________________________

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 boat liability insurance, a current Fishing License, the current Boat Owners Registration & current ID.

Partner #1 Sign:_______________________________________________________Date:________ Covers all 2018 PBC events.

Partner #2 Sign:_______________________________________________________Date:________ Covers all 2018 PBC events.

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  positions determined by drawing. 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
Right Click On
Entry Form
To Print

~Please read the rules first !

~Right Click on the Entry Form and
Print out a separate entry form for EACH qualifier you want to
~2018 Blast-off starting spots will be determined by Drawing on Nov. 3rd and will be Posted
when done!! Championship starting spots will be determined by points.

~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 16th at Falls Lake.

~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.

Drawing for starting spots will be Friday November 3rd and results
will be posted soon after. Entries after November 1st will be added
to the starting position list in the order they are received.