NEBA of Connecticut
Team Invitational Application
Qualifying Tournaments for the 2013 NEBA Classic Tournament
______May 13th, 2012 -Lake Candlewood 7-3 ______June 10th, 2012-Lilly (steele bridge) 7-3
______July 29th, 2012 –Ct river (Haddam) 7-3 ______August 12th, 2012- Lake Champlain (Ti) 7-3
______September 23rd, 2012- Candlewood 7-3 ______October 14th, 2012- Zoar 7-3 ______August 26th, 2012-State Championship-Lake Lillinonah 7-3
2012 Classic will be Aug 11th on Lake Champlain, Ticondaroga Launch 7-3

ELIGIBILITY
OPEN TO ANY MEMBER OF NORTH EAST BASS ASSOCIATION OF CONNECTICUT
ENTRY FEE
THE ENTRY FEE IS $100.00 PER TEAM, PER TOURNAMENT AND PAYABLE TO: NEBA of CONN.
INSURANCE
BY OUR SIGNATURE BELOW, WE CONFIRM THAT WE HAVE A MINIMUM OF $300.000.00 LIABILITY INSURANCE ON THE BOAT BEING USED IN SAID TOURNAMENT. A VALID CERTIFICATE OF INSURANCE IS DUE AND MUST BE POSTMARKED, NO LATER THAN MIDNIGHT, 14 DAYS PRIOR TO THE FIRST TOURNAMENT.
TOURNAMENT ENTRY BALANCE DEADLINE
TOURNAMENT ENTRY BALANCE IS DUE AND MUST BE POSTMARKED NO LATER THAN MIDNIGHT, 14 DAYS PRIOR TO EACH TOURNAMENT.! THIS IS A MUST!! IF NOT THEN YOU WILL NOT FISH!

BOAT POSITIONS
BOAT STARTING POSITIONS WILL BE RANDOMLY SELECTED BY COMPUTER DRAW. TOURNAMENT HOURS ARE 7:00 AM TO 3:00 PM,(1st FLIGHT) and 3:15 PM(2nd flight), UNLESS CHANGED BY THE TOURNAMENT DIRECTOR. ALL BOATS WILL BE IN THE WATER AND CHECKED BY 6:30AM. ANY TEAM ARRIVING AFTER 6:45 AM WILL BE DISQUALIFIED.

TEAM INFORMATION (print clearly)

MAN/MAN TEAM_____ MAN/WOMAN TEAM_____ ADULT/CHILD TEAM_____
NAME___________________________________PHONE______________________SS#____________________
CELL_______________________
ADDRESS____________________________________CITY/STATE/ZIP_________________________________
E-MAIL ADDRESS_______________________________________________
NAME___________________________________PHONE______________________SS#____________________
CELL_______________________
ADDRESS____________________________________CITY/STATE/ZIP_________________________________
E-MAIL ADDRESS_______________________________________________
DUES:_____$90.00 PER TEAM or ______$60.00 FAMILY MEMBERSHIP TEAM
BOAT REG #_________________BOAT MAKE_________________HP RATING_______HP ON BOAT ______

IN CONSIDERATION OF BEING ACCEPTED AS A PARTICIPANT IN THE NEBA OF CT. BASS TOURNAMENTS, THE UNDERSIGNED HEARBY ACKNOWLEDGES HAVING READ THE 2012 NEBA OF CT. TOURNAMENT RULES AND AGREES TO THE USE OF POLYGRAPH TESTING OF TOURNAMENT CONTESTANTS (TEAMS) AS STATED IN THE NEBA OF CT. TOURNAMENT RULES. THE UNDERSIGNED ALSO RELEASES AND DISCHARGES THE NORTH EAST BASS ASSOCIATION OF CT.,THE ABOVE MENTIONED SEVEN TOURNAMENTS & THE CLASSIC, THE OWNERS OF EACH SITE, MEMBERS, OFFICERS, EMPLOYEES, AND OR AGENTS FROM ALL CLAIMS, ANTICIPATED OR UNANTICIPATED, AND RESULTING FROM OR ARISING OUT OF, ANY INCIDENT DUE TO THE UNDERSIGNED’S PARTICIPATION IN SAID TOURNAMENT. ANY APPLICANT THAT IS DEEMED TO BE A DETRIMENT TO THIS TOURNAMENT TRAIL WILL BE DENIED ENTRY.
SIGNED________________________________________ SIGNED__________________________________________

PLEASE MAKE CHECKS PAYABLE TO NEBA OF CONN. AND MAIL TO:
JERRY ALLEN, 20 LONG LANE, BRISTOL, CT 06010