|PIEDMONT BASS CLASSICS 115 TEAM BASS SHOOTOUT ENTRY FORM: LAKE________EVENT DATE___________
TOURNAMENT FEE $100_______ *OPTIONALS~~BIG FISH POT $10_____TWT $30_____DEPOSIT PAID_____TOTAL PAID________
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 boat liability insurance, a 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 positions determined by drawing 8/3/17.. 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 THIS EVENT:
~Please read the rules first !
~Right Click on the Entry Form and Print out a separate entry form for EACH qualifier you want to
fish. ~2018 Blast-off starting spots will be determined by Drawing on Nov. 3rd and will be Posted
~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!
~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.
|Right Click On