1st Annual Southern Lake Michigan Smallmouth Slam! Trailered Weigh In Bass Pro!

[JBelt]

1st Annual Southern Lake Michigan Smallmouth Slam!

Proceeds are for the benefit of the Orak Shrine and are not tax deductable.
$200 Entry Fee Per Team
5 Fish Limit
June 25 Portage Marina (If bad weather we will fish on Sunday)
Trailered Weigh In at Bass Pro Shops – Portage Indiana
Pre- tournament Meeting Held @ Bass Pro Shops – Friday June 24th @ 6pm
Boat Positions Will Be Drawn At Pre-tournament Meeting
All US Anglers Choice Rules Apply
Contact Dave Heath 219-405-4330 Email: fastfruit@frontier.com
Payout Based on 50 Boat Field (70% payout to Field)
1st - $3000                         4th - $600                    7th - $200
2nd - $1500                        5th - $400
3rd - $1000                         6th - $300

In signing this entry form, I hereby waive and release all other contestants, the sponsors and tournament officials from all claims of injury and / or damage incurred in connections with this tournament. I further understand and agree that the tournament director reserves the right to refund this entry fee if it shall choose for any reason not to accept this entry form. I also agree to accept the fact, that all decisions made by the tournament officials will be final. I swear that all facts submitted are true and accurate to the best of my knowledge.



NAME ___________________________________ NAME ____________________________________
ADDRESS _______________________________   ADDRESS_________________________________
CITY ____________ STATE_________________  CITY_______________STATE_________________
ZIP___________ PHONE___________________    ZIP_____________PHONE___________________
EMERGENCY # (      ) ______________________  EMERGENCY#(      )_________________________
WORK # ____________ CELL #______________  WORK#______________CELL_________________
CONTACT PERSON_______________________   CONTACT PERSON_________________________
SIGNATURE_____________________________    SIGNATURE _______________________________
SSN # __________________________________    SSN#_____________________________________
BOAT MAKE_______________________COLOR_______________IN#__________________________


                                                CHECKS OR MONEY ORDERS MADE PAYABLE T0:
                                                                            Dave Heath

[JBelt]

Unfortunately due to some complications with the handling of fish back to lake Michigan the site for the launch has changed to Pastrick Marina. The Pre-Tournament meeting will still be held at Bass Pro Shops Friday night at 6pm.