2008 ENTRY FORM (Fill All Blanks) and bring this entry form, entry fee, TBF Release waiver and TBF emergency medical form to the pre tournament meeting.  Each contestant must sign all forms.  Clubs sending junior anglers are responsible for providing boats and boat captains for every 2 anglers. Entry fee for each junior angler is $40.00.  Make checks payable to Texas TBF Federation. 

Tournament:       Texas TBF Junior Federation State Qualifier

Name                                                                              

Gender:  M___ F___ Birth Date                                      

Mailing Address                                                             

City                                          St.      Zip                                

Email Address:                                                                 

Home: Area Code(          ) No.                                        

Cell :  Area Code (        ) No.                                          

Age Group Entered.   11-14                15-18                 

Do you have any physical impairment? Yes _ No_

If yes, explain                                                         

Having fully acquainted myself with the rules, I and my parents or legal guardians, have completed this application and submit it for my entry into the tournament.  In signing this application, and by my\our presence at the event, I\We hereby agree to be bound by and comply with all tournament rules and safety regulations. I\We expressly assume all risks associated with the tournament and I\We hereby release The Bass Federation, Inc., (TBF), FLW Outdoors, Operation Bass, Inc., their parent, and affiliate companies, their licensees and affiliates, and all their respective officers, directors, agents, employees, and stockholders, the tournament hosts, sponsors and tournament officials from all claims of death, injury and\or property damage incurred in connection with this tournament. I hereby wave my rights of privacy or publicity with regard to the unconditional right to use my name, voice, photographic likeness, video and biographical information and fishing tips and instructions in connection with any reproduction of same, video\audio productions and\or articles and press releases by TBF, Inc, FLW Outdoors, their parent or affiliate companies, and those acting under their permission, anywhere at any time, through any medium or media. I\We shall not be entitled to receive any royalties or other compensation in connection with such use. I\We further understand and agree that the tournament officials reserve the right to reject my application for any reason. I am currently a member in good standing of my home state federation, an affiliated TBF member club and TBF.

Junior Angler Contender (print)_______________________________________________________

Dated ______________________________                                                          

Signed  _______________________________________________________________                                                               

Junior Angler’s Parent or Legal Guardian if under 18 years old must sign also.

As the Parent or Legal Guardian of the above named Junior Angler, I fully understand and hereby agree to the Rules, Terms and Conditions, and the Wavier and Release of Liability document. I give my permission for the above named Junior Angler to compete in this event.

Dated                                                                     

Signed                                                                  

Parent or Legal Guardian