Kentucky Bass Federation - State Championship Entry Form

Kentucky Bass Federation State Championship Entry Form 2024

Email KBF - kentuckybassfederation@gmail.com
Required Fields = ( * )
Date Of This Form

MonthDayYear
Available Entry Types

Angler Entry Fee $105.00 ( Includes $5.00 Internet Convenience Fee )

Co-Angler Entry Fee $70.00 ( Includes $5.00 Internet Convenience Fee )
Name*

First NameLast Name
Address*

Address

Address 2

CityState

Postal / Zip CodeCountry
The Cut Off Date To Submit Your Online Entry Is 8/31/2024

If You Fail to Register Before This Date, You Will be Charged an Additional $25
Contact Phone Number*

Area CodePhone Number
Optional Phone Number

Area CodePhone Number
T-Shirt Size*
Size
E-mail*

Confirmation Email
1. YOU WILL BE REQUIRED TO SUBMIT YOUR SOCIAL SECURITY NUMBER AT THE STATE CHAMPIONSHIP BEFORE YOU CAN COLLECT ANY MONETARY AWARDS
You Do Not Need A PayPal Account For This Payment

(You have the option to use your credit or debit card on the PayPal Site)
By clicking the Submit Button below you will be redirected to the PayPal web site.

If you do not have a PayPal Account click on Pay with Debit or Credit Card for this transaction at bottom of the PayPal log in page after redirected.
Should be Empty:

Kentucky Bass Federation State Championship Entry Form 2024