Bass Capital BassMasters-TBF 2nd Annual Veterans Bass Tournament    

  September 18,  2010 

 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 to:  BCBM -TBF 

                        102 Browns Fish Camp Rd

                        Crescent City, FL 32112