Region 1 Tournament Registration Form	Official Use Boat #
VA Bass Federation, Inc

*************************************************************************

Contestant 1 (Please print clearly; No nicknames)

First Name:

Last Name:

Club:

I hereby agree to abide by all Region 1 Rules and Regulations, including submission to a Polygraph examination is requested by Region Officials. I further agree to waive and release Region 1 officers and committee members of all claims for injuries and/or damages incurred in connection with this tournament.

Signature:

*************************************************************************

Contestant 2 (Please print clearly; No nicknames)

First Name:

Last Name:

Club:

I hereby agree to abide by all Region 1 Rules and Regulations, including submission to a Polygraph examination is requested by Region Officials. I further agree to waive and release Region 1 officers and committee members of all claims for injuries and/or damages incurred in connection with this tournament.

Signature: