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: _______________

ENTRY FEE AND REGISTRATION

$60.00 PER TEAM - INCLUDES LUNKER FEE

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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