Tri County Anglers

BASS Fishing the Lakes
of Northern Illinois & Southern Wisconsin

Team membership application 2017              

 

 

BOATER NAME_______________________________Date Paid_________

 

ADDRESS___________________________________

 

CITY_______________STATE_____ZIP___________

 

EMAIL _____________________________________

 

PHONE____________________CELL_____________



Boater must be insured: INSURANCE CO._________________

 

                             POLICY#   ____________________________

 

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PARTNER NAME______________________________________Date Paid________

 

ADDRESS____________________________________

 

CITY______________STATE_______ZIP___________

          

PHONE__________________CELL_____________________

 

EMAIL_____________________________________________

 


ANNUAL MEMBERSHIP $35.00 PER PERSON/$70 PER TEAM

I have received a copy of the rules.  I will abide by all competition rules, size limits, lake

Rules, state and federal laws etc. I will operate my boat in a safe manner. I understand that 

I am responsible for my actions during any tournament and hold harmless TriCounty Anglers, 

their staff and sponsors. I allow Tricounty Anglers to publish my photos on social media sites as well as the club's website.

 

_______________________________________________________________________
 Signature boater                                                                                                        Date

_______________________________________________________________________

Signature partner                                                                                                        Date