This portion must be completed by the parent or guardian of the minor who is entering the Big Bass Bash. Please read the following waiver & release then type the age of minor and your name as parent/guardian acknowledging that you have read the waiver & release, and that you agree to the participant agreement, release, and acknowledgement of risk above. As a parent/guardian of the above minor who is under 18 years of age, I hereby consent to his/her submitting to a polygraph test should he/she qualify for one of the prizes.

Please type age of minor then name of parent/guardian below and check the "I Accept" box if you agree to the waiver/release above.
ENTER PARENT/GUARDIAN NAME OF ABOVE MINOR CONTESTANT (UNDER 18 YRS OF AGE)
FIRST NAME:
BOAT INFORMATION:
MAKE:
MODEL:
YEAR:
MOTOR INFORMATION:
MAKE:
MODEL:
YEAR:
MIDDLE INITIAL:
LAST NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
Example: Month-Day-Year (01-01-1975)
DATE OF BIRTH:
Example: (123-456-7890)
PHONE NUMBER:
E-MAIL ADDRESS:
LODGING LOCATION:
ENTER CONTESTANT NAME BELOW & CHECK THE "I ACCEPT" BUTTON IF YOU AGREE TO THE RELEASE ABOVE:
I Accept
Additional comments:
Lake of the Ozarks: October 7-8, 2017
Lake of the Ozarks: April 22-23, 2017
Grand Lake: June 10-11, 2017
Saturday and Sunday
Saturday Only
Sunday Only
Saturday and Sunday
Saturday Only
Sunday Only
Saturday and Sunday
Saturday Only
Sunday Only
I Accept
HAVE YOU FISHED THE BIG BASS BASH BEFORE?

HOW DID YOU HEAR ABOUT THE BIG BASS BASH?
YES
NO
Fished Before
Website
Flyer/Brochure
Facebook
Other
Family/Friend
TV Commercial
Website Created By TWC Web Designs
2015 Anglers in Action, LLC.
BIG BASS BASH - ONLINE ENTRY FORM

Entry Fees
(Per Angler): 1 Day: $130.00     2 Days: $180.00
A $5.00 fee will be charged for each adult entry on all credit card and Paypal transactions

If you have any questions please call us at 1-866-515-0102