RESERVATION

Your responsible is making a reservation thru online or email or phone. More information is at

www.campingfriend.com/angelscamprvandcampingresort.

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Click here for printing size of  Entry/Registration Form

See below of the form:

*** DEADLINE: SEPT 6, 2008 ***

*** (POST MARKED ONLY) ***

BASS TOURNAMENT ENTRY FEE & REGISTION FORM

NAMES: _________________________________________ E-MAIL: ___________________

ADDRESS: _______________________________________ FAX: ______________________

CITY: ______________________________ STATE: _________ ZIP: ____________________

ARRIVAL DATE: ___________________ DEPARTURE DATE: _______________________

Registration (Member) ………………..……….………...……….…. Adult(s) ____ X $ 3.00 = ________

Registration (Non-member) …………..……….………...……….…. Adult(s) ____ X $ 5.00 = ________

Entry Fee (Member) …………………..……….………...……….…. Adult(s) ____ X $50.00 = ________

Entry Fee (Non-member) ………………..…….………….……...…. Adult(s) ____ X $55.00 = ________

Past Deadline on Sept 6 ^th Additional Fee ….…..…….…….….……. Adult(s) ____ X $ 5.00 = ________

GRAND TOTAL = ________

I have completed this application and have submitted the total entry fee for participating in this tournament. I hereby waive and

release the tournament officials and sponsoring organization from all claims of injury, loss and/or damage incurred in connection

with this event. N.C.A.C.C.D. reserves the right to refuse participation to anyone. I have read this agreement in full and agreed to

the tournament’s rules and DFG’s regulation.

1. Angler’s name (print): _____________________ 2. Angler’s name (print): __________________________

Signature: _____________________ Signature: __________________________

Make a check payable to ‘NCACCD’ and mail it to Dave Herdrich, 116 Big Jake Way, Galt, CA 95632.

*** AFTER DEADLINE OR AT NEW MELNES LAKE, MONEY ORDER OR CASH ONLY ***

I have completed this application and have submitted the total entry fee for participating in this tournament. I hereby waive and

release the tournament officials and sponsoring organization from all claims of injury, loss and/or damage incurred in connection

with this event. N.C.A.C.C.D. reserves the right to refuse participation to anyone. I have read this agreement in full and agreed to

the tournament’s rules and DFG’s regulation.

1. Angler’s name (print): _____________________ 2. Angler’s name (print): __________________________

Signature: _____________________ Signature: __________________________

Make a check payable to ‘NCACCD’ and mail it to Dave Herdrich, 116 Big Jake Way, Galt, CA 95632.

*** AFTER DEADLINE OR AT NEW MELNES LAKE, MONEY ORDER OR CASH ONLY ***