Boater Name _________________________________________
Address_______________________________________________
_______________________________________________
Phone Number_________________________________________
Boat__________________________________________________
Motor_________________________________________________
Insurance Policy #______________________________________
Non-Boater Name________________________________________
Address_________________________________________________
_________________________________________________
Phone Number__________________________________________
____ Membership fee ($30 per person)
____ Green Lake, Spicer, MN ($50)
____ Lake Waconia ($50)
____ Lake Sarah ($50)
I hereby release the UltimateBassAngler tour from liability for any damages to person or property up to and including death that is incurred during participation in a UltimateBassAngler tournament. I accept that there is an inherent risk involved in fishing bass tournaments and do accept this risk.
Signature Partner #1 _____________________________________________
Signature Partner #2 _____________________________________________
Please sign and date entrance form and mail to:
Paul Schwinghammer
107 Hazelwood Ave
Cologne, MN 55322
