To enter by mail, print out entry form and mail to the address listed on the form.
To enter at the ramp, print out entry form and bring it with you or forms will be available at the ramp.

You must fill out one entry form for each tournament if you plan on pre-registering for more than one event
by mail. A $10 non-refundable deposit for each event will hold your starting spots.
Pre-payment  or deposits for multiple events can be made with one check or money order.
PIEDMONT BASS CLASSICS  SPECIAL OPEN TOURNAMENTS TEAM ENTRY FORM:     LAKE_________EVENT DATE____________
ENTRY FEE $100_______BIG FISH POT $20_______TWT $50_______......TOTAL PAID_______________

PARTNER #1: (Print)__NAME_______________________________________________PHONE #___________________________
                         ADDRESS_________________________________________________________________________________
                         CITY, STATE, ZIP__________________________________________________________________________
                         EMAIL ADDRESS:_________________________________________________________________________
PARTNER #2: (Print)__NAME_______________________________________________PHONE #___________________________
                         ADDRESS_________________________________________________________________________________
                         CITY, STATE, ZIP_________________________________________________________________________
                         EMAIL ADDRESS:_________________________________________________________________________
Having read the rules concerning this tournament & signed this application for entry, I agree to waive & release the sponsors,
other contestants, host marinas & their agents, polygraphers & tournament staff of all claims of personal injury, property damage
or loss thereof, loss of life or any other liability incurred by me or my partner while participating in this event. I agree that the
above statements are true & agree to take a polygraph test if requested & will accept the decision of the polygraph operator &
tournament director thereafter.

Partner #1 Sign:_____________________________________________________________Date:_______
Partner #2 Sign:_____________________________________________________________Date:_______

YEAR MODEL & MAKE OF BOAT YOU ARE USING FOR THIS EVENT:_________________OWNER____________________________


Mail Entries To:  Phil McCarson....922 Valetta Rd....Durham, NC....27712--------Make Check or Money Order out to 'Phil McCarson'.
Starting  position determined by when entry is received. Flights determined by number of entries.   Entries will be taken morning of
the tournament up until blast-off. Others may enter up to 1 hour after blast-off. 1 place paid for every 5 entries. 80% Payback on
entry fees.  Big Fish Pot & Tournament Within A Tournament (TWT) are 100% Payback - 2 Places for Big Fish & TWT (70-30 Split).    
                                                                               PLEASE! CASH ONLY AT THE RAMP!
FISH THE BEST !!      PIEDMONT BASS CLASSICS !!
Director's Notes
Counter
Pre-Register Now For Only $10 Each Event