PBC CASHION RODS 'YEAR END BASS BRAWL' BASS TRAIL ENTRY FORM......LAKE_____EVENT DATE____

ENTRY FEE $110____BIG FISH POT $20____TWT $50____DEPOSIT______......TOTAL PAID________

PARTNER #1: (Print)__NAME_______________________________________________PHONE #_________________

ADDRESS_________________________________________________________________________________

CITY, STATE, ZIP__________________________________________________________________________

EMAIL ADDRESS:_________________________________________________________________________

PARTNER #2: (Print)__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 thesponsors, other contestants, host marinas & their agents, polygraphers & tournament staff of all claims of personalinjury, property damage or loss thereof, loss of life or any other liability incurred by me or my partner while participatingin this event. I agree that the above statements are true & agree to take a polygraph test if requested & will accept thedecision of the polygraph operator & tournament director thereafter. I also have boat liability insurance, a currentFishing License, the current Boat Owners Registration & current ID.

 

Partner #1 Sign:_______________________________________________________Date:________

Covers all 2021 PBC events.

 

Partner #2 Sign:_______________________________________________________Date:________

Covers all 2021 PBC events.

 

 

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

 

Mail Entries To:  Phil McCarson....922 Valetta Rd....Durham, NC....27712. Make Check or Money Order out to 'Phil McCarson'

Starting QUALIFIERS positions determined by time entry is received. Flights determined by number of entries.  Entries will be taken morning of the tournament up until blast-off. Others may enter up to 1 hour after blast-off.   

PLEASE! CASH ONLY AT AT THE RAMP!   Contact Phone Number:  ........919-971-5042 Cell

 

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TO ENTER THE PBC 'YEAR END BASS BRAWL' TEAM BASS TRAIL':

~Please read the rules first !

~Right Click on the Entry Form and Print out a separate entry form for EACH qualifier you want to fish.

~Fill entry forms out completely and either bring them to me at home or mail them in.

~You must pay a $10 non-refundable deposit for each individual 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 only at the ramp!

~Fees for the 'Championship' will be taken ONLY the morning of Oct. 23rd., 2021 at Kerr Lake.

~Mail Entries To:  Phil McCarson....922 Valetta Rd....Durham, NC....27712

~Make all checks or money orders out to: Phil McCarson.

~Please....No phone calls will be taken for entries. Call me, however, if you have any questions about the events. Entries will be added to the starting position list in the order they are received. Championship starting spots will be determined by points.

   ENTER TODAY!!!

Right Click On

Entry FormTo Print