PBC OCTOBERFISH BASS TRAIL ENTRY FORM......LAKE_____EVENT DATE____
ENTRY FEE $110____BIG FISH POT $20____TWT $50____DEPOSIT______......TOTAL PAID________

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

PARTNER #2: (Print)__NAME_______________________________________________PHONE #________________________
ADDRESS_________________________________________________________________________________
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 2020 PBC events.

Partner #2 Sign:_______________________________________________________Date:________
Covers all 2020 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'
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
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TO ENTER THE PBC OCTOBERFISH BASS TOURNAMENTS:

~Please read the rules first !

~Right Click on the Entry Form and
Print out a separate entry form for EACH tournament you want to fish.

~Fill entry forms out completely and either bring them to me at home or mail them in.

~You must 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 at the ramp!


~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.

Entries will be added to the starting position list for each qualifier in the order they
are received.    
ENTER TODAY!!!
Right Click On
Entry Form
To Print
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