St Joseph Valley Bassmaster Youth Tournament Entry Form

St Joseph Valley Bassmaster Youth Tournament Entry Form
- THE FIRST 200 ENTRIES WILL BE ACCEPTED, TO ENSURE A POSITION, APPLICATIONS MUST BE MAILED BY July 26, 2025.
- YOU MAY ALSO REGISTER AT THE PARK.
- ALL PARTICIPANTS MUST HAVE THEIR OWN POLE AND BAIT AND GUARDIAN
- ALL THOSE FISHING MUST BE REGISTERED AT PINHOOK PARK BY 8:30 A.M. AUGUST 8th, 2026
- THE TOURNAMENT WILL START PROMPTLY AT 9:00 A.M.
Parent or Guardian Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How many children are you registering?
Childs Name

First NameLast Name
Birthday

MonthDayYear
Date
Age Brackett
2nd Childs Name

First NameLast Name
2nd Child's Birthday

MonthDayYear
Date
Child 2 Age Brackett
3rd Childs Name

First NameLast Name
3rd Child's Birthday

MonthDayYear
Date
Child 3 Age Brackett
4th Childs Name

First NameLast Name
4th Child's Birthday

MonthDayYear
Date
Child 4 Age Brackett
5th Childs Name

First NameLast Name
5th Child's Birthday

MonthDayYear
Date
Child 5 Age Brackett
6th Childs Name

First NameLast Name
6th Child's Birthday

MonthDayYear
Date
Child 6 Age Brackett
7th Childs Name

First NameLast Name
7th Child's Birthday

MonthDayYear
Date
Child 7 Age Brackett
8th Childs Name

First NameLast Name
8th Child's Birthday

MonthDayYear
Date
Child 8 Age Brackett
9th Childs Name

First NameLast Name
9th Child's Birthday

MonthDayYear
Date
Child 9 Age Brackett
10th Childs Name

First NameLast Name
10th Child's Birthday

MonthDayYear
Date
Child 10 Age Brackett
BY SIGNING THIS APPLICATION FOR THE ST. JOE VALLEY BASS MASTER’S FISHING CONTEST, I HEREBY WAIVE AND RELEASE ALL OTHER CONTESTANTS, HOST SPONSORS, THE STATE OF INDIANA AND TOURNAMENT OFFICIALS FROM ALL CLAIMS OF DAMAGE IN CONNECTION WITH THIS TOURNAMENT.
Signature of Parent of Guardian
Should be Empty: