Bass Capital BassMasters-TBF

4th Annual Veterans Bass Tournament

September 22, 2012

  VETERAN ENTRY FORM  

  Name_____________________________________________________________ 

  Address_________________________________________City________________________St__   Zip___________

   Phone (____)_____________________Cell (        )____________________________________

EMAIL_______________________________________________________________

Date Entered Military Service________________________________________

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

 ________________________________________________________________________________

     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. 

  SIGNATURE___________________________________________ DATE___________________

  Entry Fee:  NONE   

      Mail to:     BCMB

                       102 Browns Fish Camp Rd

                        Crescent City, FL 32112