CAHBA SCHOLARSHIP BASS CLASSIC 2026 REGISTRATION

CAHBA SCHOLARSHIP BASS CLASSIC

REGISTRATION FORM
SATURDAY, MAY 9, 2026

DEVIL'S FORK RAMP - GREERS FERRY LAKE

ENTRY FEE: $200 per boat

PLEASE MAIL PAYMENT TO:

PO BOX 1291

Cabot, AR 72023
***PLEASE NOTE***

Proof of Liability Insurance (minimum of $100,000) required at onsite check-in.
TEAM NAME:
BOAT(Make & Model):
Participant #1
Name:

First NameMiddle InitialLast Name
DOB:

MonthDayYear
Date
YesNo
T-Shirt Size:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:
example@example.com
Cell:
Format: (000) 000-0000.
Emergency Contact:
Emergency Contact Number:
Format: (000) 000-0000.
Signature:

Clear
Parent/Guardian Signature: (REQUIRED only if under the age of 18)

Clear
Participant #2
Name:

First NameMiddle InitialLast Name
DOB:

MonthDayYear
Date
YesNo
T-Shirt Size:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:
example@example.com
Cell:
Format: (000) 000-0000.
Emergency Contact:
Emergency Contact Number:
Format: (000) 000-0000.
Signature:

Clear
Parent/Guardian Signature: (REQUIRED only if under the age of 18)

Clear
BOAT CAPTAIN (ONLY APPLICABLE FOR HIGH SCHOOL BASS TEAM PARTICIPANTS)
Name:

First NameMiddle InitialLast Name
DOB:

MonthDayYear
Date
YesNo
T-Shirt Size:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:
example@example.com
Cell:
Format: (000) 000-0000.
Emergency Contact:
Emergency Contact:
Format: (000) 000-0000.
Signature:

Clear
Should be Empty:

CAHBA SCHOLARSHIP BASS CLASSIC

Participant #1

Participant #2

BOAT CAPTAIN (ONLY APPLICABLE FOR HIGH SCHOOL BASS TEAM PARTICIPANTS)