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Big Bass Splash® 2010
Official Entry Form
LAKE TOLEDO BEND, LOUISIANA

Entry Fees: 1 Day-$110; 2 Days-$160; 3 Days-$210 per person at time of registration

STEP 1 >>   ENTER CONTESTANT INFORMATION BELOW:

First Name:

Middle Initial:
Last Name:
Mailing Address:
City:
State:
Zip Code:
   
Driver's License:
DL#:
 Date of Birth: Enter (Month-Day-Yr) as example: 00-00-0000
   
Email Address:
Home Phone Number: Enter as example: 000-000-0000 
Cell Phone Number: Enter as example: 000-000-0000

STEP 2 >>   OPTION "BONUS GAMES" NOW AVAILABLE ONLINE !

*BONUS GAME OPTION #1: Special Bonus Card aka "Insurance Card" $5 per day fished
  • Card entitles you to win extra places daily on all odd hrs 7-8AM * 9-10AM * 11-12AM * 1-2PM

  • 13th Place $125; 14th Place $100

*BONUS GAME OPTION #2: Special T-Shirt Bonus Hours - $15
  • Have this shirt in your possession when you weigh in on either of the two T-Shirt Bonus Hours

  • 8-9AM   *  1-2PM  & Win first place of that hour and Double your Winnings for that hour!

STEP 2 >>   COMPLETE TOURNAMENT SECTION BELOW:
Select the days you are entering the tournament to fish:
If you wish to participate in the Bonus Card, please select the Day or Days:
If you wish to participate in the Bonus Shirt Hours, please select the size:
STEP 4 >>   COMPLETE SURVEY BELOW:
Select the cellular service you use?  
Select the make of vehicle you drive?  
Select which gas & oil company do you prefer?  
How did you learn about Sealy Outdoors?  

PARTICIPANT AGREEMENT, RELEASE AND ACKNOWLEDGEMENT OF RISK:

ENTER CONTESTANT NAME - I Accept 
  

THE FOLLOWING NEEDS ONLY TO BE FILLED OUT IF THE ABOVE CONTESTANT IS A MINOR (under 18 years of age) This must be completed by the parent or guardian of the minor who is entering the McDonald's® Big Bass Splash®. Please read the following waiver & release then type age of minor and your name as parent/guardian acknowledging that you have read the waiver & release. As a parent/guardian of the above minor who is under 18 years of age, I hereby consent to his/her submitting to a polygraph test should he/she qualify for one of the prizes.

When submitting entry electronically, type parent/guardian name below and insure that the "I Accept" box has been checked.
ENTER PARENT/GUARDIAN NAME OF ABOVE MINOR CONTESTANT (UNDER 18 YRS OF AGE)
    I Accept 

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