NEBA OF NH 2012 TRAIL 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 20th  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 plus a “Wild Card”
Qualifier based upon best 3 event points.  See rules for details.

We intend to fish following:                      Payment Schedule:
____ 5/13/12 Lake Winnisquam                ____boxes checked x 125.0=________
____6/17/12 Lake Wentworth                   Deposit enclosed(min 125.00)_______
____7/8/12 Lake Winnipesaukee        Balance Due (before first event)______
____8/12/12 Moore Dam Reservoir
____9/9/12 Squam Lake
TOC - Sat. & Sun September 29 & 30, 2012 on Great East Lake

There will be THREE Team Opens this year.  The first will be on Sunday, May 6 on
Squam. The second will be held on Sunday, July 29 on Winnipesaukee, the third
will also be on Winnipesaukee on Sunday, October, 14.  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