CHECK ALL THAT APPLY:
Lake Geneva, May 24, 2003, $200 entry fee, $10 Big Bass Pot

Tichigan Lake, May 18, 2003, $200 entry fee, $10 Big Bass Pot

(Please print)

Boater Name:_______________________________________________________________
Address:___________________________________________________________________
__________________________________________________________________________
Phone: (______)_______________________
EMAIL:______________________________
Local Newspaper:____________________________________

Non-boater Name:___________________________________________________________
Address:___________________________________________________________________
__________________________________________________________________________
Phone: (______)_______________________
EMAIL:______________________________
Local Newspaper:____________________________________


Make of Boat:______________________________
Boat Registration #:__________________________
Truck License Plate #:________________________

Having acquainted ourselves with the rules, we have completed this application and are enclosing our entrance fee payable to BCBA. In signing this application, we hereby agree to hold harmless all other contestants, the host, sponsors and tournament officials; and furthermore waive and release all rights to claims for damages or injury that may be incurred during this tournament. We further understand and agree that the tournament committee reserves the right to refund this entrance fee if it shall choose, for any reason, not to accept our application.


Partner #1: (signature)____________________________________ Date:______________

Partner #2: (signature)____________________________________ Date:______________