MAKE OF BOAT:  _____________________

HORSEPOWER: ______________________

PA BOAT REG #:  _____________________
OPERATORS NAME:  _____________________

ADDRESS:  _____________________________

                    _____________________________

PHONE #:  ______________________

PARTNERS NAME:  _______________________

ADDRESS:   _____________________________

                    ______________________________________

PHONE #:  _______________________


BOAT #: _________________________
CHECKS PAYABLE TO:
HOPE FIRE COMPANY
** CASH ONLY DAY OF EVENT **

MAIL APPLICATIONS TO:
Mike Hassen
P O Box 1171
Northern Cambria PA  15714


DATE RECEIVED: _______________
LUNKER FEE PAID:   YES  (   )        NO  (   )

TOTAL AMOUNT ENCLOSED:  $______________

  **** CASH ONLY ON DAY OF THE EVENT ****
I HAVE READ, UNDERSTAND, AND AGREE TO ABIDE BY THE RULES AND REGULATIONS THAT I RECEIVED WITH THIS APPLICATION.   I ALSO AGREE TO FOLLOW ANY ON SITE DIRECTIONS GIVEN ME REGARDING THE TOURNAMENT.  I FULLY UNDERSTAND ALL HAZARDS INVOLVED IN THIS TYPE OF ACTIVITY AND AGREE TO WAIVE THE TOURNAMENT COMMITTEE AND ANY SPONSOR OF ANY AND ALL LIABILITIES INCURRED.

OPERATORS SIGNATURE: ___________________________   DATE: ____________

PARTNERS SIGNATURE:  ____________________________   DATE: ____________
HOPE FIRE COMPANY BASS TOURNAMENT APPLICATION
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