TBF KS 2022 STATE QUALIFIER ENTRY FORM 11-12 JUNE 2022
WILSON LAKE, HELLS CREEK BOAT RAMP
$200.00 BOATER ENTRY FEE / $100.00 CO-ANGLER ENTRY FEE
There will be no off limits
Optional Big Bass- $10.00 per day per person
BOATER NAME: ___________________________________________
ADDRESS __________________________________________________
CITY: __________________________STATE:_________________ZIP:_
HOME PHONE: ___________________CELL:_____________________
E-MAIL ADDRESS: __________________________________________
TBF NUMBER: ______________________________________________
CO ANGLER NAME: _________________________________________
ADDRESS __________________________________________________
CITY: __________________________STATE:_________________ZIP:_
HOME PHONE: ___________________CELL:_____________________
E-MAIL ADDRESS: __________________________________________
TBF NUMBER: ______________________________________________
All Contestants: Having acquainted myself with the rules. I have completed this application and am enclosing my entrance fee payable to TBF KS. In signing this application, I hereby waive and release all other contestants, the host, sponsors and tournament officials from all claims or injury and/or damages incurred in connection with this tournament. I further understand and agree that the Tournament Director reserves the right to refund this entrance fee if my application is not accepted for any reason. I swear that the above facts are true and accurate to the best of my knowledge. By affixing my signature to this entry form, I give the Tournament Rules Committee the right to inspect my boat and motor and further agree to submit to a polygraph test should I be accused of any rule violation.
Boater Signature: ____________________________Date:______________
Co Angler Signature: _________________________Date:______________
Mail Entry Form and payment (If not paid by PayPal)
TBFKS Tournament Director
ATTN: Larry Stoafer
35571 187th Street, Leavenworth, Ks 66048
(913-240-5254)