2019 VIC'S SPORTS CENTER THE X-SERIES OFFICIAL ENTRY FORM
1. Having read the Official FBFP 2019 X-Series Rules and completed the below entry form, having paid the per event or full season fees and a one time $50 individual angler organizational fee, I/we agree to abide by all conditions and accept penalties determined by officials, stated therein. (2.10.19)
2. Liability Release: By signing this agreement, I/we hereby release the State of Ohio, Vic's Sports Center, FBFP 2019, 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 2019 X-Series rules and understand our agreements as outlined in items 1 and 2 above.
*NAME ALTERNATE for CHAMPIONSHIP w/this entry (see rule #4) ___________________________________
ONE TIME ANNUAL PER ANGLER X-Series ORGANIZATIONAL FEE ($50 each) ___
EACH SINGLE EVENT ENTRY $280 PER TEAM ~ CREDIT CARD ENTRIES ACCEPTED ONLINE
*ALL SINGLE EVENT ENTRIES MUST BE POSTMARKED 7 DAYS PRIOR TO EVENT DATE OR APPLY $20 LATE/RAMP PAY FEE*
X1 MOSQUITO1 STATE PARK MAIN 5/05 ~ 7:00A ___ X2 BERLIN *GERMAN CHURCH* 6/09 ~ 6:30A ___
X3 PORTAGE NEW STATE PARK 6/23 ~ 6:00A ___ X4 CHAUTAUQUA NY 7/21 ~ 7:00A ___
X5 MOSQUITO2 STATE PARK MAIN 8/04 ~ 7:00A ___
OR ~ *DISCOUNTED* FULL SEASON PAYMENT & DOUBLE BALL DRAW EACH EVENT !!!
FULL FIVE QUALIFIER SEASON & TWO SEASON MEMBERSHIPS $1375 ___
***FULL SEASON DISCOUNT REMAINS ACTIVE UP TO MARCH 31st ONLY ~ FULL SEASON ENTRY IS NOT AVAILABLE ONLINE***
Check or money orders ONLY ~ DO NOT MAIL CASH! Bounced checks incur $50 fee!:
The 2019 X-Series ( *****make checks payable to FBFP 2019 **** )
5499 NEW MILFORD RD., RAVENNA, OH 44266-3822