13th Annual Alhambra Shrine Sponsored Bass TOURNAMENT

 

Fishing Application

 

Saturday, June 2, 2007, 6:00am

Chester Frost Park, Hixson, TN

 

First Place $ 7,500 Guaranteed

 

Permitted Fishing Locations

Chester Frost Park, Chickamauga Lake, Watts Bar Lake, Nickajack Lake

 

  • 6:00am , First Flight Weigh-in 3:00pm, Second Flight Weigh-in at 3:15pm

  • Tournament Mandatory Meeting:  Friday, June 2nd, 6:30pm at Alhambra Shrine Center.  One fisherman per boat must be present. for flight listing, no exceptions.

  • Flight numbers will be assigned in the order entries are received.

  • Entry fees are non-refundable, no exceptions

  • Fish for free early bird contest - All paid entries received or post-marked before May 27, 2004 will be entered into our Early Bird contest for $175.00 to be drawn at the Mandatory Meeting.

  • Big Bass Fish Pot:  Voluntary $ 10.00 per Boat (Cash Only)

  • For additional information call Alhambra Shrine 423-892-0223.

  • Proceeds for Shrine Activities and are not tax deductible.

  • I certify that I have read, understand and will abide by the rules of this tournament.  I hereby waive and release the Officials, Hosts, sponsors, Agents, State, City and County Governments and all other contestants from any and all claims of injury and/or material and bodily damage incurred in connection with this tournament.  I hereby grant all newspaper, audio producers, etc to use my name, voice, photographic likeness and I shall not be entitled to receive any royalties or other compensation in connection with such use.  If under the age of 18, Parent or Legal Guardian signature required.

Signature: ______________________________  Date:  ___________

 

Signature: ______________________________  Date:  ___________

 

Bass Tournament On Line Registration or Mail In with Credit Card or Check

This is not a secure site.  For secure payment call Alhambra Shrine @ 423-892-0223 or print this page and mail with check or credit card information to Alhambra Shrine, 1000 Alhambra Drive, Chattanooga, TN  37421 www.alhambrashrine.com

                                                                                                                                    2nd Person if applicable

Name as on Credit Card:   Name:

CC Billing Address:    Address: 

City: ST Zip      City, ST Zip:  

Social Security Number:          SS Number:

Telephone Home:                       Home:
Telephone Work:                        Work:

Number in Boat:    --Total Amount 

Credit Card Type:  VISA   MC   Discover

Credit Card Number:       Expiration Date: 

 

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