Florida Bass Federation

Florida Bass Federation , Inc.
OFFICIAL MINN-KOTA TRAIL 2010
ENTRY FORM
www.floridabassfederation.com

GUARANTEED ENTRIES MUST HAVE BOTH ENTRIES IN SAME ENVELOPE NO EXCEPTIONS ALL QUESTIONS ASKED MUST BE ANSWERED OR YOU MAY BE REFUSED ENTRY. YOU AND YOUR CLUB MUST BE VERIFIED, CURRENT MEMBERS OF THE FLW, TBF AND FBF AND THE CLUB YOU ENTER AS A MEMBER, NO EXCEPTIONS, COMPUTER CHECK IS DONE BEFORE ENTRY.YOU WILL BE REQUIRED TO SHOW A CURRENT FLW MEMBERSHIP CARD AT EACH FBF TOURNAMENT CHECK IN…NO EXCEPTIONS, EXPIRED FLW NUMBERS WILL BE REJECTED.

Name____________________________________ Event Location_____________________________
Parent Club_______________________________ Club Federation Number____________________
My FLW Membership Number ________________ Date Membership Expires___________________
Your Florida Federation Region (check one) NE____ NW _____ CENTRAL _____SOUTH___
Address___________________________________City_____________________St___Zip_________
Phone (____)_____________________Cell (____)_________________________Other_____________
Do you have any physical impairment? Yes___ No___
If yes Explain______________________________________________________________________________________________________________
Entering as a Guaranteed Boater __Yes __No Guaranteed Non-Boater’s name______________________
Check One: Regular Boater____Reg._Non-Boater_____Guaranteed Non-boater_________________
You must have $300,000.00 of Boating Liability Insurance. YOU MUST
INCLUDE A COPY OF YOUR INSURANCE WITH ALL TOURNAMENT ENTRIES. YOU MUST PROVIDE A COPY FOR EACH TOURNAMENT FISHED THIS YEAR.
Do you have proper coverage? Yes ______ No ______
If you do not plan to use your boat, will you have a properly insured boat available if needed for tournament use? Yes_______ No_____
Brand of Boat & Length__________________________________ Brand of engine  HP_____________
Brand of Trolling Motor____________________________________Size___________________________
Brand of Electronics___________________________ Model ___________________________________
Having acquainted myself with these rules. I have completed this application and submit it for entry into the tournament. In signing this application, I agree to be bound by and comply with all Tournament rules and regulations. I expressly assume all risk associated with the Tournament and I hereby release the Florida Bass Federation, Inc and any other organization, the host, sponsors, and tournament officials from all claims or injury and/or damages incurred in connection with this tournament. I further understand and agree that the Tournament Committee reserves the right to reject my application for any reason. I am currently a member in good standing of TBF, FLW, Florida Bass Federation, Inc. and the parent club listed on my official entry form. I further agree that any trolling motors won in conjunction with the Florida Bass Federation, inc. tournament or associated activities must be mounted and used for a period of not less than 1 year.

DATE______________________________SIGNATURE_______________________________

Entry Fee: $100.00 Optional Big Bass: $10.00 TOTAL ENCLOSED ________ CHECK #_____
Make checks Payable To: Florida Bass Federation, Inc, Tournament Account NO CASH PLEASE
MAIL TO: 305 Fourth Street South, Dundee, Fl 33838 – Cheryl Brewer, Tourn. Director – 863-224-0045