I agree to abide by the K.B.C.C. rules. I also agree to follow any reasonable on-site directions given to me regarding the operation of the tournament. I fully understand the
hazards involved in this type of activity and agree to waive the tournament committee and sponsors of any liabilities incurred. K.B.B.C. reserves the right to accept or reject
any or all applications.

KBBC TEAM NUMBER _______________________

Lake Arthur Raystown Pymy Shenango Mon - 10 Mile Lake Arthur Mon - SS

Boater’s Name _________________________________________   Rider’s Name ______________________________________

Address _______________________________________________  Address ___________________________________________

City/State/Zip __________________________________________  City/State/Zip ______________________________________

Area Code / Phone _______________________________________ Area Code / Phone __________________________________

Signature _________________________________     ________________________________          '10
Application must be signed by both contestants

Entry Fee (s) @ $ 150.00 ea  
Lunker Fee (s) @ $ 10.00 ea  
M’Ship Fee @ $ 20.00  
Alt Fee @ $ 10.00   
Total enclosed    

 

Send applications to:

KBBC c/o Steve Heck
171 Redwing Dr
New Alexandria, PA  15670