Boat #_________

2010 Catfish Nation East Coast Big Cat Round-Up Form.

All participants have read and understand the 2010 Big Cat Round-Up rules and regulations, and
agree to abide by these rules and regulations and any decisions made by tournament officials.

NO refunds!! Tournament entry fees may be transferred to next years event with a notice of at
least 48 hours.

All boats will take-off in the order of event sign-up. EARLY ENTRY = EARLY TAKE-OFF

Pre-registration must be received at least 10 days before the event. After that you may only enter
at the event site paying with cash only!!

Team member #1 -

Name - _____________________________________

Address-____________________________________

Phone-______________________________________

Contact info-_________________________________

Team member #2 -

Name - _____________________________________

Address-____________________________________

Phone-______________________________________

Contact info-_________________________________

Team member #3 -

Name - _____________________________________

Address-____________________________________

Phone-______________________________________

Contact info-_________________________________

Team member #4 -

Name - _____________________________________

Address-____________________________________

Phone-______________________________________

Contact info-_________________________________

Entry Fees – 2010 Catfish Nation East Coast Big Cat Round-Up $100 per boat ($25 deposite)
** Entry fees include Big Fish pot

Having acquainted myself with the 2010 Catfish Nation East Coast Big Cat Round-Up rules and
regulations. I have completed the application and are paying the entry fee . In signing this
application, I hereby waive and release all other contestants, host, sponsors, tournament officials ,
Tim Hagan Outdoors and the Catfish Nation from all claims, injuries, and/ or damages incurred in
connection with any tournament. I acknowledge that my personal safety and the safety of my
property is my sole responsibility. I further understand and agree that tournament officials reserve
the right to refund the entry fee if they choose for any reason not to accept my application. I agree
to undergo polygraph/urine/blood test if requested. I hereby agree that should I fail said test I will
forfeit any and all prizes, this being a contractual agreement to pass said test.

Signature - Team member #1 _______________________________________________________

Signature - Team member #2 _______________________________________________________

Signature - Team member #3 _______________________________________________________

Signature - Team member #4 _______________________________________________________

Mail entry form to : Make checks payable to Veronica Hagan, P O Box 45 Walkersville , Md 21793
$25.00 will get your team on the list or Pay with paypal { there is a added fee to use paypal }