PBC HART'S CUSTOM SETS...2021 SPRING 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 2021 PBC events.

Partner #2 Sign:_______________________________________________________Date:________
Covers all 2021 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 QUALIFIERS positions determined by early drawing for each event. 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
------------------------------------------------------------------------Cut Here---------------------------------------------------------------------------------


TO ENTER THE PBC HART'S CUSTOM SETS $10K SPRING TEAM BASS TRAIL':

~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.

~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!

~
Fees for the 'Championship' will be taken ONLY the morning of June 12th, 2021 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.

~
Entries received by Jan. 30th, 2021 will be eligible for each qualifiers 'Starting
Spots' drawing set for Mon. Feb. 1st, 2021!!
  Entries after that will be added to the
starting position list in the order they are received. Championship starting spots
will be determined by points.    
ENTER TODAY!!!
Right Click On
Entry Form
To Print
Back to $10K Main Page
Back to PBC Main Page