Tournament Circuit Membership Registration Form
PRINT CLEARLY the following information is required to participate in the Bass Hole Team Tournament Circuit
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Angler 1: |
Partner: |
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Address: |
Address: |
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City/State/Zip: |
City/State/Zip: |
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Email: |
Email: |
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Phone Number: |
Phone Number: |
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Shirt size (circle one): S M L XL 2XL 3XL 4XL |
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Boat Brand: |
Motor Brand: |
Total Amount Paid: $ CASH CREDIT/DEBIT CARD
By my signature on this form, I certify that I have read and understand the rules and regulations concerning this tournament. I waive and release all officials of The Bass Hole LLC of any and all claims of personal injury, lost or stolen property, and accidents and/or damages incurred in connection with this tournament series. Also, by signing this release I waive all rights to any and all photos from the tournament to use for event promotion.
Signature/Date:
Signature of parent or guardian if under 18 yrs old/Date:
6277 Bethel Island Rd, Bethel Island, CA 94511. Contact: 925-813-9485/ tbhtackleshop@gmail.com