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2023 Colorado BASS Nation - State Team Qualifying Tournament
June 12th–17th, 2022. Lake Oahe, SD - Launching out of Mobridge, SD.
$225 Entry Fee. (Optional Big Bass Pot $30)
Entry Fees should be paid to your local club.
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First Name
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Address (Full Address Please example: 12345 Willow Bay Lane)
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Cell Phone #
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Email
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Emergency Contact Name (First Last)
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Emergency Contact Cell Number
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Emergency Contact Relationship
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BASS Number (Must be valid at the time of registration)
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Affiliated Club - Check One
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Cenntenial Bassmasters
Denver Bassmasters
Springs Bassmasters
Pikes Peak Bassmasters
Rocky Mountain Bass Club
Southern Colorado Bassmasters
Check those that apply
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My primary membership is in Colorado
I was a member of a CBN affiliated club in 2021
This is my first CBN Event
Travel Partner Name (First Last)
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Travel Partner Cell #
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I am fishing as a
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Do have any impairments that require special accommodations.
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