Bass Capital BassMasters- 4th Annual Veterans Bass Tournament

September 22,  2012 

BOATER ENTRY FORM

Name__________________________________________

Address_________________________________________City__________________________St___ Zip___________

Phone (____)_____________________Cell (____)_________________________Other_________________________

Do you have any physical impairment?  Yes___ No___ If yes Explain_________________________________________

_______________________________________________________________________________________________

I Understand That I am entering as a Volunteer boater.

Brand of Boat & Length__________________________________ Brand of engine & HP________________

Having acquainted myself with these rules I have completed this application and submit it for entry into the tournament.

In signing this application, I agree to be bound by and comply with all Tournament rules and regulations. I expressly assume all risk associated with the Tournament and I hereby release the Bass Capital BassMasters-TBF, any other organization, the host, sponsors, and tournament officials from all claims or injury and/or damages incurred in connection with this tournament. I further understand and agree that the Tournament Committee reserves the right to reject my application for any reason.

I further agree to supply the Veteran Fishing on My Boat all Tackle, Life Vest and Fishing Equipment and to hold Him/Her harmless for any and all damage to said tackle and equipment.

Date______________________________SIGNATURE___________________________________________

Entry Fee:  NONE

Mail completed form to: 

BCBM -
102 Browns Fish Camp Rd
Crescent City, FL 32112