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2016 W.S.B.F.

Qualifier Entry Form

Entry Fee - $300 (per angler)

NOTE:  There will be a $50 per angler late fee added to all entries received after the April 15th entry deadline
Tournament dates and locations:

April 23th & 24th Lake Chelan  /  June 25th 26th Moses Lake /  August 27th & 28th Tri Cities


Boater Entry

Name: ___________________________________________
Club: ____________________________________________
Sex:     M          F  
Ranger Cup Eligible  -  Circle One: Yes .............  No
Date of Birth: ______________________________________
Address: __________________________________________
City: ___________________________________ State: ____
Zip: ________________
Home Phone: (_______) ________-________________
Cell Phone: (_______) ________-________________
Email: ___________________________________________
TBF/FLW Member #: _______________________________
Expiration Date:: ___________________________________
Boat Make/Model: _________________________________
Motor: _______________________ Horsepower: ________
Signature: ________________________________________

NOTE:  All boaters must attach proof of insurance to this form.  (Minimum $300,000 liability)

Non-Boater Entry 

Name: ___________________________________________
Club: ____________________________________________
Sex:     M          F 
Date of Birth: ______________________________________
Address: __________________________________________
City: ___________________________________ State: ____
Zip: ________________
Home Phone: (_______) ________-________________
Cell Phone: (_______) ________-________________
Email: ___________________________________________
TBF/FLW Member #: _______________________________
Expiration Date:: ___________________________________
Signature: ________________________________________

Note:

All entries must be turned in with both a boater and a non-boater.  Only pairs will be accepted.

 

Having acquainted myself with the rules. I have competed this application and submit it for my entry in the WSBF Qualifier Series.
By signing this application I hereby agree to be bound by and comply with all tournament rules and regulations. 
I expressly assume all risk associated with the tournament I hereby release the WSBF, it's sponsors, and tournament officials
from all claims or injury and or damage incurred in connection with this tournament.

All entries must be received no later than  April 15th, 2016 
Make checks payable to:         W.S.B.F

Mail checks to:  Gerald Dunn, 6716 179th St. Ct. E.

      Puyallup, WA. 98375


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