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CRACKER BOY’S BASS CLUB ENTRY FORM ANGLER 1 NAME: ____________________________________________________________________ ADDRESS: _________________________________________________________________ CITY: ___________________________________ ZIP: ________________________ PHONES: HOME: _______________________ WORK: ____________________ CELL: _______________________ FAX: ______________________ SIGNATURE: ______________________________________________________
ANGLER 2 NAME: ____________________________________________________________________ ADDRESS: _________________________________________________________________ CITY: ___________________________________ ZIP: ________________________ PHONES: HOME: _______________________ WORK: ____________________ CELL: _______________________ FAX: ______________________
SIGNATURE: __________________________________________________
ALTERNATE NAME: ____________________________________________________________________ ADDRESS: _________________________________________________________________ CITY: ___________________________________ ZIP: ________________________ PHONES: HOME: _______________________ WORK: ____________________ CELL: _______________________ FAX: ______________________ In signing this entry form, I/we hereby agree and acknowledge that, if I/we claim any prize payable by the bass tournament, I/we are subject to a requirement to submit to and pass a polygraph test. I/we understand that prize claimants shall be subjected randomly for polygraph testing at the sole discretion of the tournament director. I/we further understand and agree that my/our failure to pass such polygraph test shall cause my/our disqualification from eligibility to collect any prize payable by Cracker Boy’s Bass Club. In signing this entry form, I/we wave and release all sponsors, host and tournament officials from any and all claims of injury, theft or damage resulting from a Cracker Boy’s Club bass Tournament. MEMBERSHIP WILL BE $15.00 PER PERSON, $30.00 PER TEAM FIRST TOURNAMENT $110.00 INCLUDES MEMBERSHIP FEE TOURNAMENTS THEREAFTER $80.00 ($60.00 TOURNAMENT + $20.00 BIG BASS) 100% PAYBACK FLORIDA BASS TRAIL SEND ENTRY FORM AND FEES MADE OUT TO: CRACKER BOY"S BASS CLUB 8302 N. 40TH STREET TAMPA, FLORIDA 33604
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This site was last updated 01/22/08