MACDILL BASSBUSTERS TEAM REGISTRATION TEAM MEMBER #1 _______________________________________________________ ADDRESS: _______________________________________________________________ CITY/STATE/ZIP: ________________________________________________________ HOME PH # ________________________ CELL PH# __________________________ EMERGENCY CONTACT # _______________________________________________
EMAIL ADDRESS - _______________________________________________________ DUES $15 ______ BIG BASS POT $10 ______ BIG STRINGER POT $5 _______ TOTAL PAID $ ________________ TEAM MEMBER #2 _____________________________________________________ ADDRESS: _______________________________________________________________ CITY/STATE/ZIP: ________________________________________________________ HOME PH# _______________________ CELL PH# ____________________________ EMERGENCY CONTACT # _______________________________________________
EMAIL ADDRESS - _______________________________________________________ DUES $15 ______ BIG BASS POT $10 _______BIG STRINGER POT $5 ______ TOTAL PAID $ ________________ BY FISHING WITH THE MACDILL BASSBUSTERS, BOTH TEAM MEMBERS AND FAMILIES HEREBY RELEASE ALL LIABILITY FOR ACCIDENTS AND OR INJURIES SUBSTAINED DURING ANY FISHING EVENT FROM THE MACDILL BASSBUSTERS AND ALL CLUB MEMBERS THEREOF. YOU ALSO AGREE TO ABIDE BY ALL CONSTITUTION REQUIREMENTS AND TOURNAMENT RULES BY SIGNING BELOW. MEMBER #1 ____________________________ #2 _____________________________
