6th Annual  St. Jude Mid-Atlantic Open Team
BASS TOURNAMENT

LEESYLVANIA STATE PARK
Woodbridge, Virginia… on the Potomac River

Friday, July 12, 2002

1st Place $1500 CASH plus prizes
$1000 LUNKER

Cash and prizes paid thru 20th place

St. Jude Mid-Atlantic Open Team Bass Tournament
2002    POTOMAC RIVER    2002

ENTRY FEE: $200.00 per Boat/Team. (Entry Fee... less free gifts... is Tax Deductable)

BIG BASS: Optional $20.00 per BOAT/TEAM. ($20.00 covers both partners… sorry, no individuals)

LAUNCH FEES: Are NOT included in the Tournament Entry Fee.

TOURNAMENT RULES: ALL Federal, State and Local Laws will apply to this tournament.

*** TOP PRIZE WINNERS SUBJECT TO LIE DETECTOR TEST ***

BOATER

name: ________________________________
e-mail: ____________________________
address: ________________________________
_______________________________________
phone: ________________________________

PARTNER

name:________________________________
e-mail: ___________________________
address: _______________________________
_______________________________________
phone: ________________________________

Upon registration, you will be mailed a Registration Packet including: Waiver, Rules and Regulations.

The "Waiver" MUST be signed by BOTH participants (Partner's) and returned by Mail or Fax BEFORE tournament day.

Please fill in the amount's below, and write the Total next to: "AMOUNT DUE".

Entry Fee: $__________ + Big Bass $___________ = AMOUNT DUE: $_______________

CREDIT CARD: (please circle one) AMERICAN EXPRESS - MASTER CARD - VISA - DISCOVER

Print Name:___________________________________

Expiration Date:________/________/_________

Account Number:__________________________________

RETURN THIS FORM WITH A CHECK* OR CREDIT CARD INFORMATION TO:
*Make checks payable to: St. Jude Children's Research Hospital

Dana Delong, ALSAC/St. Jude
4141 N. Henderson Road
Plaza Suite #3
Arlington, VA. 22203
phone 800-336-3083 fax 703-558-0537