OFFICIAL ENTRY FORM Printable Entry Form

________Tournament Date _____Yearly Membership

GUYS Name ___________________________________________________________
Address _______________________________________________________________
City ______________________________State ___________ Zip ______________
Phone _(______)_______________ Signature_________________________
S.S.#________________ Occupation________________ Date of birth_______
E-mail address______________________________
GALS Name ___________________________________________________________
Address ______________________________________________________________
City _________________________________State ____________ Zip ____________
Phone _(______)_______________ Signature________________________________
S.S.#______________ Occupation_________________ Date of birth________
E-mail address______________________________
Make of Boat________________________ Length________ Yr.________________
Boat Motor ______________________ H.P. __________ Yr. __________
Electronics Brand _____________________ Tow Vehicle Make ________________
Brand of Batteries _________________ Sponsors ___________________________
Do you plan to buy a boat this year? ___________

We have read and understand the rules and enclose the completed application and our entry fee payable to: Guys ‘n' Gals Bass Association. In signing this application, we hereby waive our legal venue. We hereby waive and release all other contestants, sponsors, and tournament officials from all claims for injury and/or damages incurred in connection with this tournament and agree to all their rules and decisions. Receipt date of entry determines starting position. Cash, check, or money order must accompany this entry form to qualify for tournament entry. Guys N Gals Bass will accept Visa or MasterCard. A $5.00 per entry will be added. I further state that I maintain liability insurance and have verification of liability insurance on the boat we will use in this tournament.

$100.00 Entry Fee - $10 per person yearly membership to fish tournaments.

We further agree to submit to a Quality Assurance test if required by Tournament Director (Rule 19). Knowledge of these rules are your responsibility.

Send entry to:
Darrell Mitchell
13552 E. Hwy 76
Taneyville, MO 65759

417-546-4522