Buckeye Lake Open Bass Tournament Sunday April 14th 7:00 am-3pm

Entry Fee: $100.00 per boat ($10 optional big bass pot)~ North Shore Ramp

1st Pl. $2750.00 2nd Pl. $1300.00 3rd Pl. $800.004th $600.00 5th $450.00 6th. 300.00 7th. $200 8th. $150

(Above payout is based on a 75 FULL field. Wil l be prorated if less wil l increase is more entries received.)

Boat numbers will be assigned by the date in which the entry form is received by mail. Mailed entries mustbe received by April 12th. Cash entries accepted the day of the event . Check in and boat

inspection will begin at 5:45 am at the ramp . All entries must be checked in by 6:45am. A pre-tournamentmeeting will begin at 6:55am. On the water . All state and local lake laws must be follow ed . T.B.X. rules w ill

also apply for weigh in penalties ect . Please check out our website for complete list of rules and details :www.teambassxtreme.com

We also gladly accept online payments as well (credit cards through paypal)Note: 5 Fish Limit per 2 man team or single man team per day

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Please make check/money order out to: TBXMail To. 6595 Saylor Ct - Canal Winchester , Ohio 43110

Any questions that you have call (614)598-9606

Name__________________________________ Name :________________________________Address _______________________________ Address:_______________________________ City__________________State____Zip _______ City___________________State____Zip _______Phone _____________Email ________________ Phone _____________Email ________________

Liability Release: In consideration of the limited right to participate in any Team Bass Xtreme (hereinafter “TBX ”) bass fishingev ent,the undersigned Participant(s) hereby acknowledge and agree that Team Bass Xtreme, LL C, a nd its members, managers,agents,employ ees, officers, sponsors, tournament director s, successors or assigns (collectiv ely “Indemnified Parties”) shall not beliable forclaims, damages, demands, costs or expenses arising out of any personal injury , death, property damage or loss which maybe sustained by the undersigned Participant(s) while participating in any TBX bass fishing ev ent, prov ided that such injuries werenot caused by the grossly negligent actions or inactions or willful misconduct of the Indemnified Parties. Each of the undersignedParticipant(s) hereby jointly and sev erally agree to assume all risk of injury , death, property damage or los that may occur whileparticipating in any TBX bass fishing ev ent, and agree to hold all Indemnified Parties harmless an d to indemnify and defend sa meagainst any and all claims, liabilities, damages, liens and expenses (including, without limitation, reasonable attorney s’ fees) arisingdirectly or indirectly from any such occurrences, including any injury caused to others by the undersigned Participant(s). Theundersigned Participant(s) further agree to abide by all Rules and Regulations gov erning the TBX bass fishing ev ents, which may beimposed from time to time by the Indemnified Parties.

Signature_______________________________ Date: ____________ Signature_________________________________ Date: ____________

Buckeye Open