Team Member Name______________________________________

Address ________________________________________Apt. ____

City _____________________________________ P/C _________

Phone # (____) __________________

Cell #    (_____)__________________

E-Mail____________________________________

( ) BOATER      ( ) NON - BOATER

OBF Chapter ______________________

Send all entries along with club cheque to:

Ontario Bass Federation

2673 Constable Road, Mississauga, ON. L5J 1W3

Print this page

Please print clearly and fill in all areas

Boat Make_____________________________

Model ________________________________

Motor Make _____________________HP____

Insurance

Company _____________________________

Policy # __________________

Expiry Date __________________

A copy of insurance form can be mailed in with registration or it mustbe present in your boat when asked and must be on your person at the mandatory meeting Friday night.

Documents that will be checked at Friday night meeting

B.A.S.S. Membership No #__________________________

Valid Fishing Licence/Card #_________________________

Boat Insurance Certificate

Parent/Guardian Signature is require for entrant under 18

Signature_____________________________________

No one under 18 will fish without Parent/Guardian consent

Check your BASS Card & BASS Federation card for validity, they are different. Fishing licence cannot be a conservation licence. Photocopy of your 2009 fishing licence must be sent in with your entry form.

Staying (where) _______________________________________  Room # ______   Phone # (___)  _____________

Team Captain ________________________ Staying at ____________________________   Phone #(___)___________

Signature __________________________________DATE________________ No entries accepted after Aug 15, 2009

Chapter Presidents Signature__________________________________ DATE _______________

Member in good standing ____Y___N

(Office only) received by OBF on________________________ Cheque received on __________________

--------------------------------------------------------------------------   Cut Here Before Returning   ---------------------------------------------------------------

TOURNAMENT DATE & PLACE

Sept.20th 2009 Launch from Penetanguishene Wharf

Valid BASS Federation &  BASS Card, and Valid fishing license (not just a valid card). A Conservation license is not acceptable.

No one entering into any Qualifying event will hold any sponsors, officials or hosts responsible for any damage or injury incurred in these

events, for any reason.

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