WWBYS Membership Application Form

WWBYS Membership Application

2021-2022 Season
Parent/Guardian Name *

First Name Last Name
Email address *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Cell Phone *
Please enter a valid phone number.
Angler Name *

First Name Last Name
Birthdate *

Month Day Year
Date
Age *
Grade Level *
Angler Headshot
Wild West Bass Youth Series T-Shirt Size: *
WWBYS Membership helps cover operational costs and insurance. Each member will receive a DIGITAL subscription to BASS ANGLER magazine, a t-shirt, and a discounted entry for WWBYS Opens.

WWBYS membership is not required to participate in an Open Qualifier event, an active membership is required to participate in the West Coast Championship. Failure to have an active/paid membership is grounds for disqualification. WWBYS reserves the right to refuse and/or revoke memberships without cause, reason, and/or explanation and without recourse at our own discretion. Membership does not guarantee the ability to enter a tournament. Memberships are valid for the 2021 tournament calendar year. The membership fee is $50.00 per contestant per year. No additional discounts are available on memberships.
Individual membership (Annual fee: $50.00)
IMPORTANT INFORMATION:

After you submit and pay, click on RETURN to Merchant, this will show you a confirmation page with your membership number. You will also receive an email with your Wild West Bass Youth Series Membership number. If you don't see the email, check your spam folder.

WWBYS Membership *

USD Membership Fee

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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