OFFICIAL ENTRY FORM
11TH ANNUAL - TRI CITY BASS - OPEN TOURNAMENT
Lake Redstone - September 8, 2018

Partner #1 (Please print):                                     Partner #2:

Name:_______________________________  Name:______________________________ 

Address:_____________________________  Address:_____________________________

City, State, Zip:________________________  City, State, Zip:________________________

Telephone:___________________________  Telephone:___________________________

E-Mail:_______________________________  E-Mail:______________________________

We understand and agree that the tournament committee reserves the right to refuse and refund
this entry fee for any reason.  Having acquainted ourselves with the rules, we have completed this
application and are enclosing our entry fee of $100.00 per team, payable to Tri City Bass.
(Big Bass included in entry fee.)
In signing this application, we hereto agree to hold harmless all other contestants, the host, sponsor,
and Tournament Officials.  Furthermore, we waive and release the rights to claims for damages or
injury that may be incurred during this tournament.

__________________________________   __________________________________
Signature of Partner #1                      Date           Signature of Partner #2                  Date

To Enter:
Print and fill out the above Official Entry Form and mail along with your entry fee of
$100.00 per team to:

TRI CITY BASS
Attn: Dan Creviston
130 Bindl Dr
Reedsburg, WI 53959
608-393-3896
Email: tricitybass@outlook.com