2025 TEAM TRAIL – Maryland Bass Nation

Team Member #1

Team Member 1 Full Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Team Member 1 Email*

Cell Phone*

Chapter Club*

B.A.S.S. Number*

B.A.S.S. Expiration*

Notify me of tournament information via:*

Email/Website
Phone Message

Team Member 1 Boat Information

You are responsible for providing your own boat for this tournament:

Boat Year and Model*

Motor Brand*

Horsepower*

Team Member 1 Registration Number*

Exp. Date of Insurance*

Upload proof of insurance to include $300,000 limited liability coverage*

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 100 MB.

Team Member 2

Team Member 2 Full Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Team Member 2 Email*

Cell Phone*

Chapter Club*

B.A.S.S. Number*

B.A.S.S. Expiration*

Notify me of tournament information via:*

Email/Website
Phone Message

Team Member 2 Boat Information

You are responsible for providing your own boat for this tournament:

Boat Year and Model*

Motor Brand*

Horsepower*

Team Member 2 Registration Number*

Exp. Date of Insurance*

Upload proof of insurance to include $300,000 limited liability coverage*

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 100 MB.

SQT Team Registration Payment

2025 SQT Trail Fee*

Price:

Select Method of Payment*

Credit Card
Paypal

You will be directed to PayPal to complete your PayPal payment after your select ‘Register’ at the bottom of the form.

Credit Card*

Card Details

Cardholder Name

Total

$0.00

Indicate your concurrence*

- I have acquainted myself with the Maryland BASS Nation Tournament Official Rules (See Standing Rules document dated February 1, 2024 available at www.mdbassnation.com).

- I have completed this application fully and am submitting my registration for and entry fee to the Maryland BASS Nation via the online application & payment process.

- I hereby agree to be bound by, and comply with, all tournament rules and regulations. I expressly assume all risks associated with the tournament and I hereby release the Maryland BASS Nation, the host, sponsors, tournament officials and volunteers from all claims of death, injury, and/or property damage incurred by me in connection with my participation in the tournament. The use of a polygraph test will be made available and put to use if deemed necessary. I also certify that I am a member in good standing with B.A.S.S.

- I agree to provide a current copy of my boat insurance document(s). A $300,000.00 Boating Liability minimum is required. If insurance is renewed during the tournament season or you purchase a new boat an updated copy must be provided to the Tournament Director, ASAP.) (If you fished last year and we have a current “unexpired” copy on file, it is not required to resend at this time). Email Insurance Documents and Boater Safety Certificate to: [email protected] and [email protected]

- I understand that I am required to report tournament winnings to the IRS as taxable income, and that the Maryland Bass Nation will provide an IRS form 1099 to me if I qualify. I will complete this form fully (including my social security number) and understand that this information will only be used for the purpose of filling out IRS form 1099. The Maryland Bass Nation will safeguard this information in accordance with the privacy act of 1974.

- If you were born AFTER June 30, 1972, you must obtain and possess a Boater Safety Certificate.

- If you compete in the B.A.S.S. Nation Championship, or any B.A.S.S. sanctioned event, including the BNC Qualifiers, you must obtain a Boaters Safety Certificate and provide that certificate to B.A.S.S. prior to the event.

I understand and agree to the following