NEBA OF NH 2010 TOURNAMENT APPLICATION

1.        Both team members must be current members NEBA of NH
2.        A copy of your current liability policy(both if you share boats)
for minimum of $300,000 liability must accompany application!!!!
3.        Non-refundable entry fees or deposit equal to two event fees to be
submitted with application. (by April 1st  please) We request you indicate which
tournaments you intend to enter and pay balance prior to first tournament. Tournament
fee is $125.00 per tournament.
Top half of field (4 out of 5 events) will qualify for 2 day TOC.

We intend to fish following               Payment Schedule
____ 5/9/10 Lake Sunapee        ____boxes checked x $125.0=______
____6/20/10 Winnisquam          Deposit enclosed(min $125.00)_______
____7/11/10 Moore Res.           Balance Due (before first event)______
____8/15/10 Winnipesaukee
____9/12/10 Squam Lake
               TOC Sat. & Sun October 2nd and 3rd on Lake Wentworth

There will be also be a team open Sunday August 1st. Membership in NEBA is not
required, but a copy of  insurance policy must be provided. There is a separate entry
form for this event, which may be submitted on day of event.

Boater______________________Partner__________________
Address_____________________Address_________________
Town_______________________Town___________________
State &ZIP___________________State & ZIP______________
Email_______________________email___________________\
PLEASE ENTER EMAIL AS WE UPDATE EVERYONE ON CHANGES OR  NEW
INFORMATION THIS WAY!!!!!!!!
By entering the Northeast Bass Association of NH Team Trail, I/WE
hereby waive all liability claims against tournament officials, sponsors, hosts and all
parties associated with said trail. In addition I/we agree to abide by all tournament rules
which I/we have read and understood,
Signature_______________Date___Signature_______________Date_____

Mail application, deposit, any balances and insurance copies to: Dave Sheils
85 Collincote St. Stoneham, MA 02180