Big Bass Per Hour Registration Form

Date:

Boater

Non-Boater

Name		Name
E-mail Required		E-mail Required
City		City
State		State
Zip		Zip
Phone	Required	Phone	Required

In Submitting this form, I hereby certify that I have read and understand all rules and regulations as stated, I also agree to submit to a polygraph examination if required, and agree that all the decisions of the tournament officials will be final. I waive and/or release ShawBassers and all other participants and any organizations connected with this event form any and all injuries or damages incurred while taking part in any activities connected with this tournament.