Right Click On Entry Form and
Click Print For A Copy.
|Click Here For
This Is An
Please Read The
Entry Form Is
Located At The
Bottom Of This
E-mail List !
E-mail me at:
and I'll add you on to
keep you posted on
|2017 TOBACCO BASS TOURNAMENT ENTRY FORM:
PLEASE ENCLOSE PAYMENT OF $105.00 Make Check or Money Order out to 'Phil McCarson'
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 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
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