WAYS TO ENTER
1 Day 2 Day
ENTRY FEE - By March 18th $90 $170
After March 18th 95 180
YOUTH ENTRY (under 16) $10.00 per day
Youth are eligible for all tournament prizes
Name (please print) ___________________________________Youth?____Lady Angler?____
City ________________________ State _________________ Zip ____________________
Phone _________________________ Social Security No. _____________________________
I hereby enter the KCKL/KLVQ THIRTY-FOURTH ANNUAL GREATER CEDAR CREEK LAKE BASS TOURNAMENT to be held March 25-26, 2017. I have read and understand the Rules and release KCKL/KLVQ, it’s agents and sponsors of any liability for any claim, personal injury, accident, damage, lost or stolen property. I enclose Check ( ) Money Order ( ) in the amount of $__________ as Entry Fee. If I place for any prize, I will submit to a polygraph and/or other appropriate tests or be disqualified, and will abide with such results.
Contestant ratifies and approves entry in the KCKL BASS TOURNAMENT made on his/her behalf by another and agrees thereby to be bound by all rules of the tournament.
Signature of Contestant
THE FOLLOWING TO BE FILLED OUT BY PARENT OR GUARDIAN OF PERSON UNDER 16 ENTERING BASS TOURNAMENT.
As Parent or guardian of the above-named youth who is under 16, I hereby consent to his/her submitting to a polygraph test and/or taking a polygraph on their behalf should he/she qualify for one of the prizes.
Signature of Parent or Guardian