Kiss My Bass Tournament Trail Entry Form

Print Captain Name: SSN: Phone:
Street: City:  
State: Zipcode:
Print Partner Name: SSN: Phone:
Boat Length (ft):  Horsepower Rating of Boat (Hp):   Horsepower of Engine (Hp):

Check approriate box.
My and/or my partner has already paid my/our Kiss-My-Bass membership fee ($25 per person)
My and/or my partners Kiss-My-Bass membership fee is included with this entry form ($25 per person)

Check the box beside the tournament(s) entering with this form and payment (include $75 per tournament).
April 1, 2000 - Mountain Lake Marina
May 6, 2000 - Norris Dam Marina
June 17, 2000 - Anderson County Park
July 8, 2000 - Anderson County Park
September 16, 2000 - Sequoyah Marina

By signing this registration I/We acknowledge the degree of risk associated with this tournament and therefore waive and release all contestants, hosts, sponsors and tournament officials from all claims of injury, loss or damage incurred in connection with this event.  I/We also understand that decisions of tournament officials are final and that I/We may be required to submit to  polygraph testing prior to payment of prizes.

Captain Signature        Partner Signature