2017 Bassmaster Team Championship Series

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1 MICHIGAN 2017 Bassmaster Team Championship Series Houghton Lake -- Lake St. Clair -- Lake St. Clair Burt Lake June 4 July 8 July 9 August 19 Entry Fee is $600 per Team for the Entire Series. 90% Payout - Highest Payback of Any Series in the State** **In Cash and prizes. See the full payout schedule on our Web Site at Bassmaster Team Championship Tournament Mullet Lake Sunday August 20 *NOTE: You must have paid for the first 4 Michigan B.A.S.S. Bassmaster Team Championship Series Tournaments and be in a MBN club member to be qualified for the Championship $100* per Team for the Championship Tournament Day. The Angler of the Year Team will receive trophies and other assorted prizes, including a berth to the National Bassmaster Team Championship Tournament along with getting their $500 Entry Fee Paid for that Tournament. ** Requires a one time $20 per team BTC Team entry fee to qualify this year The Michigan Team Series Winners will go on to compete for a chance to fish the Bassmaster Classic* *One team for every 20 Teams Registered. EARLY BIRD DRAWING!! If you and your partner enter and pre-pay for the entire 4 tournament series, BEFORE the Start of the first Tournament, your team will be included in a drawing for the Number 1 Blast Off Position for the 2017 Michigan B.A.S.S. Team Championship Series Championship! Additional Information: The Michigan B.A.S.S. Bassmaster Team Championship Series is limited to Michigan BASS Nation and qualified at Large Members ONLY. All teams who wish to compete for the Mi BASS AOY BTC points must Pay a $20 BTC Team fee before the first tournament. You must be a Michigan B.A.S.S. Nation member before May 1, 2017 to fish the Series. To see the complete rules go to the web site. Michigan B.A.S.S. Web Site at

2 Official Michigan B.A.S.S. Bassmaster Team Championship Series Entry Form June 4, 2017 Houghton Lake July 8, 2017 Lake St. Clair July 9, 2017 Lake St. Clair August 19, 2017 Burt Lake TOURNAMENT DATES AND LOCATIONS August 20, 2017 Mullet Lake TBA Ramp $100 for the day per Team Optional Entry DNR West Ramp (Bridge to Bridge) Selfridge DNR Ramp (Bridge to Bridge) Selfridge DNR Ramp DNR Ramp at State Park Entire Series Entry Fee $600 Michigan B.A.S.S. Team Championship Series Championship Tournament* *NOTE: You must have paid for the first 4 Michigan B.A.S.S. Team Championship Series Tournaments and be in a MBN club member to be qualified for the Championship TEAM INFORMATION - Note: There is a once a series $20 BTC Team fee in addition to the regular Tournament entry fees. Boater Name: Date of Birth * Address: City: State: Zip: Home Phone Cell Phone: Soc. Sec. Number: 2017 Member of the Michigan BASS Nation? YES, Club Name: or At Large Member Boat Make, Model & Year: Motor Make Model & Year: Was the Boat being used purchased at Wonderland Marine? YES NO Co-Angler Name: Date of Birth * Address: City: State: Zip: Home Phone Cell Phone: Soc. Sec. Number: 2017 Member of the Michigan BASS Nation? YES, Club Name: or At Large Member Having aquatinted ourselves with the rules, we have completed this application. In signing this application, we hereby waive and release all other contestants, the host, sponsors and tournament officials from all claims of injury and/or damages incurred in connection with this tournament series. We further understand and agree that the tournament committee reserves the right to refund this entrance fee for due cause. We attest that the above facts are true and accurate to the best of our knowledge. Boater Signature Partners Signature X X LATE ENTRIES RECEIVED AFTER THE DEADLINE (7 DAYS PRIOR) WILL BE ASSESSED A $25.00 PER TEAM LATE FEE AND WILL BE ASSIGNED A STARTING NUMBER AS THEY ARRIVE AND PAY. No entry forms will be taken after the Deadline until Tournament Morning. ALL PRE- TOURNAMENT MEETINGS START AT 6:00 A.M., TOURNAMENT CHECK IN STARTS AT 5:00 A.M. EACH DAY unless otherwise notified BOAT OWNERS MUST PROVIDE A VALID PROOF OF INSURANCE WHEN REQUESTED, It does not be sent with this registration form. Please enclose proper entry fee for each Team per event. Make all checks or Money Orders payable to: The Michigan B.A.S.S. Nation Blast Off Order for the first tournament is determined by the Date the Entry is Received Note: This Tournament Series is limited to qualified Michigan B.A.S.S. Nation Members ONLY. You must be a Michigan B.A.S.S. Nation Member by May 1, 2017 to qualify to fish this series. All Entry Forms should be mailed to: Larry Gargus, 3695 Hunt Rd, Lapeer, MI 48446, forms mailed anywhere else are not the responsibility of Michigan BASS. Entry forms mailed, must be received at least 7 days prior to the first tournament day. Note on Date Of Birth: At least one of the anglers on the team must be 18 or up, anglers under 18 must have a permission slip signed by a parent or guardian.

3 Michigan B.A.S.S Bassmaster Team Championship General Series Rules MICHIGAN General Rules, for complete rules, visit the Michigan B.A.S.S. Nation web site at 5 Fish per team Limit, You must cull before continuing to fish 14 Inch minimum length, 1 pound penalty per short fish and loss of the fish Dead Fish penalty is 4 ounces per dead fish Late return to check in is 1 pound per minute late, DQ after 15 minutes No Trolling allowed Artificial Lures only, No Alabama Rigs allowed Only one rod allowed per angler allowed at a time No fishing from elevated platforms Engine Cut off switch attached to operator if combustion engine is running Life jackets on and properly fastened when combustion engine is running Boaters must provide Proof of Insurance when requested Practice ceases at 6 pm the day before the tournament Entry fee is $600 per team for the series, ($100 entry fee for the Championship to qualified teams) plus there is also a once a series/season $20 BTC team entry fee for those wishing to compete for the Mi B.A.S.S. BTC AOY team and possibly advance on to the BTC. Your Team fee must be received before Launch on the first day. Late entry fee is $25 per team, if registered after the deadline (7 days prior) No Entries will be received after the deadline until Tournament Morning Check in. Michigan B.A.S.S. Nation Code of Conduct is always in affect at these tournaments

4 MICHIGAN

5 Bassmaster Team Championship Team Registration Boater Name Address City, State, Zip Phone Number Home Cell Address Signature Co-Angler Name Address City, State, Zip Phone Number Home Cell Address Signature You must also be a Michigan B.A.S.S. Nation Club member or a paid At Large Member Prior to May 1 st to participate in this Team Series. Complete this form and enclose $20 BEFORE the first tournament begins (Which is the Team Registration fee to start a BTC Team) submit to the Michigan B.A.S.S. Nation Tournament Director or their representative. We will complete the process and send your registration fee on to B.A.S.S. to get you registered as an BTC Team (i) "I hereby waive my rights of privacy or publicity with the regard to the programs of the tournament in which I appear and consent to B.A.S.S., LLC's (and its parent, affiliated and subsidiary companies, and those acting under their permission or upon their authority), copyrighting, distributing, televising, publishing and using in any way the audio and visual portions of any television videotape, film and photographs pictures of me or of interviews, scenes or other sequences in which I may be included, and any reproduction thereof, anywhere at any time through any medium or media for advertising, promotion, trade, television programming or other lawful purpose whatsoever; and I shall not be entitled to receive any royalties or other compensation in connection with such use." (ii) "I acknowledge and agree that B.A.S.S., LLC (and its parent, affiliated and subsidiary companies, and those acting under their permission or upon their authority) shall have the right to use my personal information to contact me with communications and other advertisements, and may provide such information to any sponsor of B.A.S.S., LLC or its parent, affiliated and subsidiary companies, which sponsor may contact me with communications and other advertisements." Michigan B.A.S.S. Nation Use: Received By:

6 Participant Agreement, Release and Acknowledgement of Risk In consideration of Michigan B.A.S.S. Chapter Federation, Inc ( AKA MBCF, Inc.) (DBA Michigan B.A.S.S. NATION) allowing me to participate in tournaments, I acknowledge and agree as follows: 1. I have read and understand the description of the tournament and the Official Rules of the tournament. I will obey all rules and understand that any violation may result in immediate disqualification without refund of my entry fee. I also understand that tournament officials may reject my application for any reason and in that event will refund my entry fee. 2. I understand and acknowledge that competitive fishing is a dangerous sport, the risks of which include, though not exclusively, drowning, collisions in the water, and injuries from hooks and other fishing paraphernalia. I voluntarily assume responsibility for these risks, identified and not identified, and all risk of injury or death or damage to myself, or my property or to others, including spectators and their property, arising from my participation in the tournament. 3. I hereby release, discharge, and agree to hold harmless and indemnify MBCF,Inc. it ' s officers, directors, agents and employees, the host, sponsors and tournament officials, and it ' s partners, agents or employees, and all other persons or entities associated with the tournament from any and all liability, claims, demands, actions or rights of action which are related to, arise out of, or are in any way connected with my participation in this tournament, including specifically but not limited to the negligent acts or omissions of MBCF,Inc. its officers, directors, agents and employees, the host, sponsors and tournament officials, and it ' s partners, agents or employees and all other persons or entities associated with the tournament, for any and all injury, death, illness or disease, and other damage or loss to property suffered by myself or others. In signing this document, I acknowledge and agree that if anyone is hurt or property is damaged while I am engaged in this event, I will have no right to make a claim or file a lawsuit against MBCF, Inc. its officers, directors, agents or employees, the host, sponsors, officials and all other persons or entities associated with the tournament, even if they or any of them negligently caused the bodily injury or property damage. 4. Any suit brought by me against MBCF, Inc. as a result of my participation in tournaments will be brought in the state or county court in Oakland County Mi., where the principal office of MBCF, Inc., is located. Should it become necessary for MBCF, Inc. or someone on its behalf, to incur attorney ' s fees and costs to enforce this agreement, or any portion thereof, I agree to pay the reasonable costs and attorney ' s fees thereby expended, or for which liability is incurred. 5. I have sufficient health, accident and liability insurance to cover any bodily injury or property damage incurred by myself or others as a result of my participation in this event. If I have no such insurance, I represent that I am capable of paying for any and all such expenses or liability. 6. I have no past or present medical or psychological condition that might affect my participation in the tournament in such a way as to cause harm to myself or others. 7. I give MBCF, Inc. permission to use my name and photograph for promotional purposes. I agree to submit to and accept the results of the polygraph test given at this event. I am currently a member in good standing of MBCF, Inc. 8. I hereby waive my rights of privacy or publicity with regard to the programs of the tournament in which I appear and consent to B.A.S.S., LLC's (and its parent, affiliated and subsidiary companies, and those acting under their permission or upon their authority), copyrighting, distributing, televising, publishing and using in any way the audio and visual portions of any television videotape, film and photographs pictures of me or of interviews, scenes or other sequences in which I may be included, and any reproduction thereof, anywhere at any time through any medium or media for advertising, promotion, trade, television programming or other lawful purpose whatsoever; and I shall not be entitled to receive any royalties or other compensation in connection with such use. 9. I acknowledge and agree that B.A.S.S., LLC (and its parent, affiliated and subsidiary companies, and those acting under their permission or upon their authority) shall have the right to use my personal information to contact me with communications and other advertisements, and may provide such information to any sponsor of B.A.S.S., LLC or its parent, affiliated and subsidiary companies, which sponsor may contact me with communications and other advertisements. My signature below reflects that I have read this entire document, understand it completely, understand that it affects my legal rights, and agree to be bound by it ' s terms. References herein to " I ", " my ", " myself ", and other first-person references shall include any child or ward for whom I sign. PRINT NAME SIGN Parent Signature if Minor DATE

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