![]() |
|
WAYS TO ENTER
____________________________________________________________________________
1 Day 2 Day ENTRY FEE - By March 19th $90 $170 After March 19th $100 $190
YOUTH ENTRY (under 16) $10.00 per day Youth are eligible for all tournament prizes
Name (please print) ___________________________________Youth?____Lady Angler?____
Address _____________________________________________________________________
City ________________________ State _________________ Zip ____________________
Phone _________________________ Social Security No. _____________________________
I hereby enter the 2022 KCKL/KLVQ GREATER CEDAR CREEK LAKE BASS TOURNAMENT to be held March 26 & 27, 2022. 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 |