2022 VIC'S SPORTS CENTER THE X-SERIES OFFICIAL ENTRY FORM
1. Having read the Official FBFP 2022 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. (2.2.22)
2. Liability Release: By signing this agreement, I/we hereby release the State of Ohio, Vic's Sports Center, FBFP 2022, 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 2022 X-Series rules and understand our agreements as outlined in items 1 and 2 above.
NAME:________________________________________ NAME :___________________________________________
STREET:______________________________________ STREET:__________________________________________
CITY/ST/ZIP:___________________________________ CITY/ST/ZIP_______________________________________
THE PHONE # CONTACT FOR MY TEAM IS:_________________________________________________________
ANNUAL MEMBERSHIPS $50 PER ANGLER/ALT: ____
Each X-Series qualifier $300:
X1 MOSQ___ X4 CHAUT.,NY___
X2 BERLIN___ X5 WEST BRANCH___
X3 MOSQ2___
MAIL ALL CHECKS/MONEY ORDERS & THIS COMPLETED ENTRY TO:
The 2022 X-Series ( *****make payable to FBFP 2022 **** )
5499 NEW MILFORD RD., RAVENNA, OH 44266-3822