(__) 04 / 29 / 2017 Potomac (Smallwood) (Cut off date 4/24/2017)
(__) 06 / 24 / 2017 Tydings (Cut off date 6/19/2017)
(__) 07 / 30 / 2017 Dundee (Cut off date 7/17/2017)
(__) 08 /19/ 2017 Nanticoke (Sharptown) (Cut off date 8/17/2017)
(__) 09 /16/ 2017 Tydings (Cut off date 9/11/2017)
(__) 10 /14/ 2017 Conowingo (Peachbottom) (Cut off date 10/9/2017)
City:___________________________ State:______ Zip:_________ City:____________________________ _State:_______ Zip:__________
Home #:______________________ Cell # _____________________ Home #:________________________ Cell # _______________________
FLW#_______________________________ Exp:____________ FLW#________________________________ Exp:___________________
Boat Model:_________________________ Length:___________ Engine Brand:________________________ HP:_____________
*$150 per boat, Calcutta & Lunker Optional (cash at ramp).
*Payout to Top Three places fixed amount ($500, $300, $150) and Lunker.
*Insurance certificates must be on file or accompany first application with $300,000 liability coverage.
*Substitutions allowed for qualifying tournaments.
*If your partner cannot show with late notice you may be allowed to fish alone at the discretion of the Tournament Director based on circumstances.
*You must be a paid member of the TBF MD/FLW to fish for a state team position.
$300,000 Boating Liability Insurance Coverage Yes:___ No:____
Having acquainted myself with the 2016 TBF MD TOURNAMENT TRAIL OFFICIAL RULES, I have completed this application and am enclosing my entry fee
payable to TBFMD. In signing this application, I hereby release TBFMD, the host, sponsors and tournament officials from all claims of death, injury and/or
property damage incurred by me in connection with my participation in this tournament. If I am using my own boat in the tournament, I certify that I now bodily
injury/property damage insurance having a limit of at least $300,000.00. At TBFMD request, I will provide it with satisfactory evidence of that insurance.
The use of a polygraph test will be made available and put to use if deemed necessary. I further understand and agree that the Tournament Director reserves
the right to reject my application for any reason and, upon such rejection, to refund this entrance fee. All tournament matters are the FINAL say of the
Tournament Director and present Board members. I am currently a member in good standing with FLW/ TBFMD.
Angler Signature________________________________________ Co-Angler Signature__________________________________________
Any questions - Contact TBF Treasurer Bob Hassler
Make all checks payable to TBF MD and mail check and application before cut off date to: TBF-MARYLAND 6203 Greenbriar Ter, Fayetteville Pa 17222