ELEVENTH ANNUAL

South Watuppa, Fall River, MA

Sunday April 3^th 8:00 am – 3:00 pm

$90 entry fee $10 lunker pool

5 fish limit lunker 100% payback

payout based on a 25 boat field 75% payback

1st place - $500 Pre-registration mailing, Make checks payable to

2nd place $420 “ Patriot Bassmasters”

3rd place - $335 Mail to: Keith Beyers, 54 Woodland Ave., Cranston RI 02920

4th place - $250 Any questions call

5th place - $165 Paul Lavoie 401-823-4499 Keith Beyers 401-943-6014 Ray Tuholski 508-695-5906

Name _____________________________________________________________________

Address ____________________________City__________________State_______Zip_______

Phone __________________________ Email ____________________________________________

Partner ______________________________ Address______________________________________

City__________________________State_______ Zip________Email _________________________

Waiver

By my signature herein releases Patriot Bassmasters from any claim arising from lose, damage, or injury and with

My signature I swear to abide by the rules of the Mass DEQ, the Mass. Division of Boating Safety, and the

Rhode Island Federation Tournament Rules and Regulations.

Signature 1) ______________________________________________ Date:________________________

Signature 2) ______________________________________________Date_________________________

All boats must be covered by a minimum $100,000 liability insurance.

A copy must be sent in with the application. Or @ boat ramp when entering April 3^th.