Entry Form
Right Click On Entry Form and
Click Print For A Copy.
Click Here For
Last Year's
This Is An
Tournament Only.
Please Read The
Rules Below.
Entry Form Is
Located At The
Bottom Of This
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PLEASE ENCLOSE PAYMENT OF $105.00  Make Check or Money Order out to 'Phil McCarson'

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 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:________

Mail Entries To:  Phil McCarson....922 Valetta Rd....Durham, NC....27712

Starting  position determined by when entry is received. Flights determined by number of entries.  

Contact Phone Numbers:  919-471-1571 Home........919-971-5042 Cell
The 28th Annual Tobacco Bass Invitational Event
Postponed to
Saturday Sep. 16th, 2017

At Kerr Lake Out Of Flemingtown.
Invite Event Only!     
Click Here For Information

Those already entered please call me if you cannot fish this new date.  919-471-1571