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Epilepsy Foundation of Central and South Texas

Epilepsy Foundation » Local Services » Epilepsy Foundation of Central and South Texas » BigBassTournamentForm

Angler #1
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone Number:
Fishing License No.:
Email:
Angler #2
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone Number:
Fishing License No.:
Email:
WRD Release:
	By selecting "Yes" in the drop down list above, you agree to “give, donate, leave the wildlife resources (Black Bass and/or Spotted Bass), or parts thereof, to Freedom Bass Club, which was caught on June 21, 2008 at Choke Canyon Reservoir, Three Rivers, TX, USA.” Fishing License number listed on above entry.
Method of Payment:

After submitting this registration form, you will be taken to the registartion complete page. From there you can enter the Team's anglers and submit to payment page using Paypal.