Boater
Name________________________________________________
Address_______________________________________________
_______________________________________________
Phone Number_________________________________________
Boat__________________________________________________
Motor_________________________________________________
Insurance Policy #______________________________________
Non-Boater
Name________________________________________
Address_________________________________________________
_________________________________________________
Phone number__________________________________________
____ Membership fee ($20 per team) (100% payout to Team of the Year)
____ Lake Alexander ($25) ____ Side pot ($40) [optional]
____ Green Lake ($25) ____ Side pot ($40) [optional]
____ Woman Lake ($25) ____ Side pot ($40) [optional]
I hereby release the Minnesota Smallmouth Slayers tour from liability for any damages to person or property up to and including death that is incurred during participation in a Minnesota Smallmouth Slayers tournament. I accept that there is an inherent risk involved in fishing bass tournaments and do accept this risk.
Signature Partner #1 _____________________________________________ Date __________________
Signature Partner #2 _____________________________________________ Date __________________
Please sign and date entrance form and mail to:
Paul Schwinghammer
107 Hazelwood Ave
Cologne, MN 55322
