* * * Please use the form below to submit your entry into the 2019 Nutimik Lake Bass Challenge if paying by INTERAC E-TRANSFER ONLY. Submitting an entry without following up with payment DOES NOT RESERVE A SPOT IN THE EVENT. * * *. Please email payment to email@example.com (add full name and transaction password with email message).
* * * If paying by cash or cheque, please print THIS PDF ENTRY FORM, fill out and submit with payment by mail or in person. * * *
2019 Nutimik Lake Bass Challenge Entry Fee:
Paid in full on or before July 3, 2019 – $100
Paid after July 3, 2019 – $120
Entry and Acknowledgment: Having acquainted myself with the Rules and Regulations attached hereto, I hereby submit my Entry Form for registration and enclose my entry fee payable to “Manitoba Bass Anglers”. By acknowledging this entry form I accept the Rules and Regulations attached hereto and I agree to abide by them. I also give my permission for the free use of my name and picture in broadcast, telecast or written accounts of this event.
Waiver of Claim Release and Indemnification agreement in consideration of the acceptance of my entry in the Nutimik Lake Bass Challenge, its promoters, employers, sponsors, organizers, hosts, directors, officers and all other organizers and affiliated organizations, agencies and/or agents and assignee’s and any other person assisting in this event from any claims for damages or injuries suffered by me as a result of my participation in or traveling to or from this event. I hereby state that I am in proper physical condition to participate in this event and am aware that participation could in some circumstances result in physical injury. I further agree to indemnify the Nutimik Lake Bass Challenge (mentioned above), from any claims or damages arising out of or in consequence of the participation or attendance by me in this event.