Big Bass Addict Entry Form

(Print out entry form to submit)

Name Of owner of Boat________________________

Phone Number:______________________________

Street Address:______________________________

City:___________________     State:__________    Zip:___________

Name of second Boater:_________________________

Phone number:_______________________________

Street Address:_______________________________

City:_________________    State:____________  Zip:____________

Check which tournament you are fishing or both and also check if you are entering big bass and side pot.

June 19^th Island Lake Chain $100:________      Big  Bass $10:________

July 31^st Chetek Chain $100:_______                  Big Bass$20:_________

Optional side pot $10:________    (see Rules) 

The Undersigned Agree and are aware that any tournament held by Big Bass Addict 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 Big Bass Addict, its officers any employees and all sponsors of any liability.

Signature Partner #1:________________________  

Guardian (if required)

Signature Partner #2:________________________

Guardian (if required)

Make all checks payable to Terry Ellis and send to Big Bass Addict, 11188 16^th ave, Chippewa Falls, WI 54729 **All entry fees must be received in full no later than 7 days prior of tournament date to no incur a $10 late fee.**