EACH EVENT WILL BE LIMITED TO THE FIRST 55 PAID TEAMS DUE TO RAMP LIMITATIONS !!!!!!!!!!!!!!!!!!!!!!!!!

1. Having read the Official FBFP 2009 LaDue Bass Series Rules and completed the below entry form and paid the $70 per event and a one time $35 per member fee, I/we agree to abide by all conditions stated therein.

2.  Liability Release: By signing this agreement, I/we hereby release Akron City Watershed, State of Ohio, FBFP 2009, Rory Franks and any of it's officer’s, agents, employees and sponsors from any and all damages, claims, costs or expenses relating to injury or even death, of any persons, property, or character which we may sustain or cause by reason of our participation in or in connection with this tournament. I/we further authorize the use of any images or likeness of our person and names.

3. I/ We have read and understand our agreements as outlined in items 1 and 2.

NAME:_____________________________ ADDRESS:________________________________ CITY__________________ STATE/ZIP_____________ EMAIL____________________________PHONE__________________

NAME:_____________________________ ADDRESS:________________________________ CITY__________________ STATE/ZIP_____________ EMAIL_____________________________PHONE_________________

X______________________Date:____

X______________________Date:____

INDICATE FEES PAID WITH THIS ENTRY BELOW:

ANNUAL PER MEMBER ORGANIZATIONAL FEE ($35 each)___

(Qualifiers & Opens $70 each) Q1__Q2__Q3__Q4__Q5__

OPENS: SUMMER__ FALL __

Entries paid the day of the event must be done in CASH ONLY and will incur a $20 late fee (TOTAL $90) . All prepays MUST BE POSTMARKED NO LATER THAN 7 DAYS PRIOR TO SCHEDULED DATE OF EVENT. Prepays must pay in check or money order PLEASE DO NOT MAIL CASH! Include this form filled out in entirety and mail to:

FBFP2009 (make checks payable to FBFP 2009)

3079 SUMMIT RD., RAVENNA, OH 44266