Download Application (word format)

Name:

Address:

Telephone #: _____________________________Date of Birth: _________________

Are you a member of B.A.S.S.?   No     Yes - Expiration Date: _____________

Do you own a boat? No            Yes - Make/Model:_______________       HP_________

What are you reasons for joining a BASS Club?

What do you expect to get from this club? 

Would you be willing to work on a special committees?   No     Yes

Are you able to participate in 50% of all club meetings and 50% of all club fuctions?

Yes   No – Why?

What type of fishing do you like?

Name you favorite lures:

Name three of you favorite fishing places:

1.      ______________________2._____________________3._________________

What was your most unusual fishing experience?

Signature_______________________________________    Date__________________

Sponsor’s Signature______________________________      Date __________________