Single Elimination Entry Form

Full Name______________________________________

Street Address:_____________________________

City:______________________________________

State:___________ Zip:______________________

Telephone Number:_________________________

Email Address:_____________________________

Need all the above info to put tournament bracket together.

Check which way you prefer to be contacted for your pairings.
Email:_________________________________________
 
Phone__________________________




The Undersigned Agree and are aware that any tournament held by Cash For Bass could be hazardous and dangerous. We could be seriously injured or even killed. We are voluntarily participating in these tournaments with knowledge of the danger involved and agree to assume any and all risk of bodily injury, death or property damage, whether those risks are known or unknown. We release Cash For Bass, its officers any employees and all sponsors of any liability.


Signature: ______________________________________

Please Print and mail to:

Big Bass Addict
Terry Ellis
11188 16th ave
Chippewa Falls,WI 54729




 
 
 
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