2021 MOSQUITO MADNESS XVI OFFICIAL ENTRY FORM 

1. Having read the Official FBFP 2021 MOSQUITO MADNESS XVI Rules and completed the below entry form and paying the $395 PRIORITY TEAM ENTRY, I/we agree to abide by all conditions, and accept penalties determined by officials, stated therein. (rev 12.01.20)

2. Liability Release: By signing this agreement, I/we hereby release the State of Ohio, FBFP 2021, Kent State Bass Fishing Club, Rory Franks and any officer’s, agents, official’s, employees and sponsors thereof from any and all damages, claims, costs or expenses relating to injury or even death, of any persons or property, which we may sustain or cause by reason of our participation in or in connection with this tournament. I/We will complete and agree to the terms of the Waiver, Release and Indemnification Agreement prior to participation. I/We further authorize the use of any images or likeness of our person and name(s).

3. I/We have received and read a copy of the official 2021 MMXVI rules and understand our agreements as outlined in items 1 and 2 above. 


NAME:__________________________________ ADDRESS:________________________________ 

CITY____________________STATE/ZIP___________ 

EMAIL____________________________________PHONE___________________________


NAME:__________________________________ ADDRESS:________________________________ 

CITY____________________STATE/ZIP___________ 

EMAIL____________________________________PHONE____________________________


X_______________________________________DATE: _____ 


X_______________________________________DATE: _____

​THIS PRIORITY MAIL REGISTRATION FORM MUST BE RECEIVED NO LATER THAN 12/31/20 UPON MAIL CALL

THE TEAM ABOVE IS ELIGIBLE FOR PRIORITY ENTRY HAVING FISHED OR PAID FOR THE PREVIOUS YEARS' 2020 MMXV EVENT ~ SEE RULE #3

                   ENTRIES MAY NOT BE DROPPED OFF AT DIRECTORS HOME! 

     *** MMXVI ENTRY MUST BE POSTMARKED AND SENT VIA US MAIL SERVICE ***

  
Check or money orders ONLY! PLEASE DO NOT MAIL CASH! Include this form completed in entirety

FBFP 2021 (make checks payable of $395 to FBFP 2021)

5499 NEW MILFORD RD., RAVENNA, OH 44266-3822