Piedmont Bass Classics

2023 SPRING WARRIOR CLASH SHEARON HARRIS LAKE APRIL 01, 2023

ENTRY FEE $110____BIG FISH POT $20____TWT $50____DEPOSIT______TOTAL PAID________

BOATER__NAME_______________________________________________PHONE #___________
ADDRESS_________________________________________________________________________________
CITY, STATE, ZIP__________________________________________________________________________
EMAIL ADDRESS:_________________________________________________________________________

ANGLER NAME_______________________________________________PHONE #___________
ADDRESS_________________________________________________________________________________
CITY, STATE, ZIP_________________________________________________________________________
EMAIL ADDRESS:_________________________________________________________________________

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 boat liability
insurance, a current Fishing License, the current Boat Owners Registration & current ID.

Partner #1 Sign:_______________________________________________________Date:________
Covers all 2022 PBC events.
Partner #2 Sign:_______________________________________________________Date:________
Covers all 2022 PBC events.

YEAR MODEL & MAKE OF BOAT YOU ARE USING FOR THIS EVENT:________________OWNER____________________

Mail Entries To: Doug Phillips--------------Make Check or Money Order out to 'Doug Phillips'

101 Rob Roy Road      Southern Pines, NC 28387    

Pre-registered team starting positions determined by ORDER RECEIVED for this event. Teams signing up at the ramp will be placed in order of arrival space available.

Entries will be taken morning of the tournament up until blast-off. Others may enter up to 1 hour after blast-off.
                  Can take cash or square payment at the ramp.

 Contact Phone Number ....912-980-5936 Cell

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TO ENTER THE Spring Warrior Clash:

~Please read the rules first!

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~~~LAUNCH SEQUENCES: Preregistered teams will be placed in starting spots in order received for this event.

~Right Click on the Entry Form and Print out and complete if you want to fish.

~Fill entry forms out completely and either mail them in before April 15, 2022 or bring to the ramp the morning of the event.

~You must pay a $10 non-refundable deposit for the event to hold a starting spot and pay the balance in full at the boat ramp the morning of the event, or pay in full before event date. You can also pay at the ramp morning of the event...cash and square payment available at the ramp!

~Make all checks or money orders out to: FLR Outdoors, LLC.