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Name_________________________________________________________________________
Pairing Partner__________________________________________________________________
Boater Non-Boater
Entry Fee $30.00_________ Entry Fee $30.00__________
Boater Option $5.00_________ Non Boater Option $5.00__________
Option #1 $10.00_________ Option#1 $10.00__________
Option #2 $5.00__________ Option #2 $5.00___________
Big Bass $2.00__________ Big Bass $2.00___________
5 LB Club $2.00__________ 5 LB Club $2.00___________
10 LB Club $2.00__________ 10 LB Club $2.00___________
Raffle $5.00__________ Raffle $5.00___________
Boater Total ___________________ Non-Boater Total ____________________
Total Fees Paid _________________
I hereby certify that I have, currently in force, boat and auto insurance coverage as
required by Arizona State Law, and Saguaro Bassmasters Club. Equipment damage costs
are the sole responsibility of the individual responsible for the damage.
I hereby waive and release Saguaro Bassmasters Club and its Tournament Officials from any and
all claims of injury or damage incurred in connection with the tournament.
Boater Signature__________________________________ Date________
Non-Boater Signature______________________________ Date________
PLEASE PRINT THEN FILL OUT AND BRING TO MEETING
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