Tournament Registration

Team Name (optional)

Angler 1 - Name

Angler 1 - Email

Angler 1 - Address

Angler 1 - City, State, Zip

Angler 1 - Phone Number

Angler 1 - Shirt Size

Angler 2 - Name

Angler 2 - Email

Angler 2 - Address

Angler 2 - City, State, Zip

Angler 2 - Phone Number

Angler 2 - Shirt Size

Biggest Catch Add-On - $25

Winner gets half the pot!

Payment

Cost: $150 per boat. Prepayment guarantees your event shirt. Please send payment to William Newton Hospital Auxiliary, Attn: Brittney Shaffer, 1300 E Fifth Ave., Winfield, KS 67156

Waiver

I, my executor, and administrators, and my team members assume complete responsibility for any and all injuries, illness, or damages that may occur to me/us or my/our personal property in conjunction with our participation in said event.My team is physically prepared for this event and is in adequate physical condition to complete this event. My team authorizes the use of photographs or videos that include our images for promotional, informational, or other reasons deemed to be in the best interest of the event.

Acknowledgement - please type your full name

By entering my full name below, I acknowledge I have read and agreed to the terms & conditions listed above and that my team is aware of and agrees to said terms & conditions.

Bass Fishing Tournament Registration