TYRONE BASSMASTERS

Member of the TBF & the Pennsylvania Bass Federation

Membership Application  **print out, fill in, and submit**  App can be emailed to:  sankertom@yahoo.com or fuzz640@aol.com .  App can also be brought to the regulary monthly meetings.  4th Tuesday of every month at Tyrone Sportsmans Club.

Tyrone Bassmaster’s Application

 

SECTION (1.)  (all applicants fill in this section)

 

NAME:                                               Date of Birth:

ADDRESS:

CITY:                                                  STATE:                       ZIP:

TELEPHONE:                                    Cell#:

E-mail:

EMPLOYER:

WORK SHIFT:

 

SECTION (2.)              (if you own a bass boat or tournament ready boat)

 

MAKE OF BOAT:                                         TYPE OF BOAT:

PA. REG. #:

WEIGHT CAP.:                                             LENGTH:

OPERATING LIVE WILL:                            INSURED:       

 

SECTION (3.)    (all applicants fill in this section)

 

ARE YOU A MEMBER OF FLW               

MEMBERSHIP#:                                           EXPIRATION DATE

ARE YOU NOW OR HAVE YOU EVER BEEN A MEMBER OF THE BASS FEDERATION:                      MEMBERSHIP#

DATE JOINED:                     CLUB AFFILIATED WITH:

ARE YOU WILLING AND ABLE TO FISH CLUB AND PA  FEDERATION TOURNAMENTS (DISTRICT AND STATE LEVEL) :         

WOULD YOU BE WILLING TO PARTICIPATE IN FEDERATION, DISTRICT, AND CLUB MEETINGS AND FUNCTIONS:   

HOW MANY YEARS HAVE YOU BEEN FISHING FOR BASS? 

WHAT DO YOU CONSIDER YOUR BASS FISHING SPECIALTY?

ARE YOU WILLING TO SHARE YOUR KNOWLEDGE IN THIS SPECIALTY WITH THE OTHER MEMBERS OF THE CLUB? 

 

APPLICANT SIGNATURE                                                             DATE

                                                      

The following to be completed by the Membership Review Committee

             highly recommended  

                        recommended

                  not recommended

 

Signature                                             Date

Signature                                             Date

Signature                                             Date