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California B.A.S.S. Nation 2017 State Team Qualifier Entry Form
Lake Nacimiento, Paso Robles, CA Oct. 14-15 Lake Nacimiento Main Ramp, 7 a.m. takeoff Tournament briefing, Oct. 13, 6 p.m., Jim’s Pro Shop Entry must be postmarked by Oct. 4. Name _________________________________________________
Club __________________________________________ B.A.S.S. Membership Number ______________
Address __________________________________________________
City __________________________________ State ________ Zip ______________
Phone ___________________________________ Email _______________________________________
Emergency Contact Name __________________________________ Phone _______________________
Registering as (check one): _____Boater ($150) _____ Nonboater ($100)
Optional: $50 for Prize Money Pot (pays to Top 3 places)
Total Enclosed: _____________
Optional: Partner’s name to guarantee spot _____________________________________________
All entries must be received on or before 10 days prior to the tournament. Applications received after the deadline will only be taken if needed to balance the field. Make of boat _________________________________________
Make and horsepower of your motor __________________________________________________
Graphs ______________________________ Trolling Motor ________________________________
Rules (Full Rules will be e-mailed to you when registration is confirmed.) ■ I have acquainted myself with the rules governing this event. ■ I hereby agree to be bound by and comply with all tournament rules. ■ I hereby grant the California B.A.S.S. Nation the unconditional right to use my name, voice, photographic likeness and biographical information, as well as any fishing tips and instruction, in audio/video production and releases. I may not be entitled to receive any royalties or other compensation in connection with such use. Signature ______________________________________________ Date ___________________ Send completed entry form and payment to Steve Wilson, California B.A.S.S. Nation, 602 Corte Moreno, Rohnert Park, CA 94928. Tournament Director: Mike Coleman, (209) 256-5945, colemanbassangler@yahoo.com
California B.A.S.S. Nation 2017 State Team Qualifier Entry Form
Lake Oroville, Oroville, CA March 18-19 Bidwell Marina, 7 a.m. takeoff Tournament briefing, March 17, 6 p.m., North Valley Tackle Host hotel: America’s Best Valley Inn Entry must be postmarked by March 8. Name _________________________________________________
Club __________________________________________ B.A.S.S. Membership Number ______________
Address __________________________________________________
City __________________________________ State ________ Zip ______________
Phone ___________________________________ Email _______________________________________
Emergency Contact Name __________________________________ Phone _______________________
Registering as (check one): _____Boater ($150) _____ Nonboater ($100)
Optional: $50 for Prize Money Pot (pays to Top 3 places)
Total Enclosed: _____________
Optional: Partner’s name to guarantee spot _____________________________________________
All entries must be received on or before 10 days prior to the tournament. Applications received after the deadline will only be taken if needed to balance the field. Make of boat _________________________________________
Make and horsepower of your motor __________________________________________________
Graphs ______________________________ Trolling Motor ________________________________
Rules (Full Rules will be e-mailed to you when registration is confirmed.) ■ I have acquainted myself with the rules governing this event. ■ I hereby agree to be bound by and comply with all tournament rules. ■ I hereby grant the California B.A.S.S. Nation the unconditional right to use my name, voice, photographic likeness and biographical information, as well as any fishing tips and instruction, in audio/video production and releases. I may not be entitled to receive any royalties or other compensation in connection with such use. Signature ______________________________________________ Date ___________________ Send completed entry form and payment to Steve Wilson, California B.A.S.S. Nation, 602 Corte Moreno, Rohnert Park, CA 94928. Tournament Director: Mike Coleman, (209) 256-5945, colemanbassangler@yahoo.com
California B.A.S.S. Nation 2017 State Team Qualifier Entry Form
New Melones Reservoir, Angels Camp, CA May 20-21 New Melones Lake Marina, 6 a.m. takeoff Tournament briefing, May 19, 6 p.m., Glory Hole Sports Entry must be postmarked by May 10. Name _________________________________________________
Club __________________________________________ B.A.S.S. Membership Number ______________
Address __________________________________________________
City __________________________________ State ________ Zip ______________
Phone ___________________________________ Email _______________________________________
Emergency Contact Name __________________________________ Phone _______________________
Registering as (check one): _____Boater ($150) _____ Nonboater ($100)
Optional: $50 for Prize Money Pot (pays to Top 3 places)
Total Enclosed: _____________
Optional: Partner’s name to guarantee spot _____________________________________________
All entries must be received on or before 10 days prior to the tournament. Applications received after the deadline will only be taken if needed to balance the field. Make of boat _________________________________________
Make and horsepower of your motor __________________________________________________
Graphs ______________________________ Trolling Motor ________________________________
Rules (Full Rules will be e-mailed to you when registration is confirmed.) ■ I have acquainted myself with the rules governing this event. ■ I hereby agree to be bound by and comply with all tournament rules. ■ I hereby grant the California B.A.S.S. Nation the unconditional right to use my name, voice, photographic likeness and biographical information, as well as any fishing tips and instruction, in audio/video production and releases. I may not be entitled to receive any royalties or other compensation in connection with such use. Signature ______________________________________________ Date ___________________ Send completed entry form and payment to Steve Wilson, California B.A.S.S. Nation, 602 Corte Moreno, Rohnert Park, CA 94928. Tournament Director: Mike Coleman, (209) 256-5945, colemanbassangler@yahoo.com
California B.A.S.S. Nation 2017 State Team Qualifier Entry Form
California Delta, Oakley, CA July 8-9 Big Break Marina, 6 :30 a.m. takeoff Tournament briefing, July 7, 6 p.m., Delta Dan’s Entry must be postmarked by June 28. Name _________________________________________________
Club __________________________________________ B.A.S.S. Membership Number ______________
Address __________________________________________________
City __________________________________ State ________ Zip ______________
Phone ___________________________________ Email _______________________________________
Emergency Contact Name __________________________________ Phone _______________________
Registering as (check one): _____Boater ($150) _____ Nonboater ($100)
Optional: $50 for Prize Money Pot (pays to Top 3 places)
Total Enclosed: _____________
Optional: Partner’s name to guarantee spot _____________________________________________
All entries must be received on or before 10 days prior to the tournament. Applications received after the deadline will only be taken if needed to balance the field. Make of boat _________________________________________
Make and horsepower of your motor __________________________________________________
Graphs ______________________________ Trolling Motor ________________________________
Rules (Full Rules will be e-mailed to you when registration is confirmed.) ■ I have acquainted myself with the rules governing this event. ■ I hereby agree to be bound by and comply with all tournament rules. ■ I hereby grant the California B.A.S.S. Nation the unconditional right to use my name, voice, photographic likeness and biographical information, as well as any fishing tips and instruction, in audio/video production and releases. I may not be entitled to receive any royalties or other compensation in connection with such use. Signature ______________________________________________ Date ___________________ Send completed entry form and payment to Steve Wilson, California B.A.S.S. Nation, 602 Corte Moreno, Rohnert Park, CA 94928. Tournament Director: Mike Coleman, (209) 256-5945, colemanbassangler@yahoo.com
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