NEBA OF NH 2009 TOURNAMENT APPLICATION
1. Both Team Members must be current members of NEBA of NH
2. A copy of your current liability policy(300,000 minimum liability) must
accompany application!!!!!!!!!!
3. Non-refundable entry fee or deposit to be submitted with application
ADVANCE ENTRY FEES OF $125.00 PER TOURNAMENT is requested. IF SIGNING UP DAY OF
EVENT,( ANY OR ALL MAY BE ENTERED THIS WAY,(MEMBERSHIP MUST BE CURRENT and copy
of insurance on file or with application!!!!
Only NEBA of NH members in good standing are eligible to fish the trail.
Make sure your membership is current. Top half of field (15 teams maximum, will qualify for the
Tournament of Champions
We are fishing(check boxes) Payment schedule(no refunds)
____ 5/10/2009 Winnisquam $________( boxes checked x $125.00
____6/21/2009 Ossipee Lake $_________Amt enclosed(1/2 total)
____7/12/2009 Ct River Charlestown $_________Balance due 5/1/06
____8/16/2009 Lake Winnipesaukee Must fish at least 4 events to
____9/13/2009 Squam Lake qualify for TOC If 5 are fished
TOC 10/3&4 @ Conway Lake top 4 are used to determine points
Boater___________________________ Partner____________________________
Address__________________________ Address____________________________
City____________State____ ZIP______ City____________State______ZIP_____
Phone#______________email_________ Phone#_______________email________
NEBA#(if you have one)_______________NEBA#__________________________
By entering the Northeast Bass Association of NH Team Trail, I/we hereby waive all liability claims
against tournament officials, sponsors, hosts and parties associated with said trail. In addition I/we
hereby agree to abide by all tournament rules which I/we have read and understood.
Signature___________________Date____ Signature_______________Date_____
Entrants Survey : Please complete at request of our sponsor
Boater Partner
Boat Make_______________Length Make_________________Length___
Trolling Motor__________________ Trolling Motor__________________
Electronics__________________________ Electronics____________________
___________________________________ ______________________________
Are you planning to buy a new boat Y__N__ 2009 _____2010______
Brands you are considering__________________________________________
Mail application, deposit and insurance copy to: Dave Sheils, 85 Collincote St.
Stoneham, MA 02180 ( make checks payable to NEBA of NH)