Boat Captain 2026 Volunteer Boat Captain Entry Form Sunday 4/19/26 – Trail #1 – Upper Bay (Dundee Creek) Sunday 5/17/26 – Trail #2 – Upper Bay (Dundee Creek) Sunday 5/31/26 – State Championship – Potomac (Mattawoman Creek) Volunteer Captain Name* First Last Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Boater Email* Cell Phone*Notify me of tournament information via:* Email Phone Number Boat InformationYou are responsible for providing your own boat for this tournament:Boat Year and Model*Motor Brand*Horsepower*State Boat Registration Number*Which Event(s) will you be Participating in? Sunday 4/19/26 – Trail #1 – Upper Bay (Dundee Creek) Sunday 5/17/26 – Trail #2 – Upper Bay (Dundee Creek) Sunday 5/31/26 – State Championship – Potomac (Mattawoman Creek) Liability Confirmation* $300,000 Boating Liability Insurance (Must email boat insurance to :June McClosky the primary contact: mdbassnationyouth@gmail.com) Exp. Date of Insurance*Launch will approximately begin by 7 am. We would like to have all boats in the water by 6am. Once you are in the water, proceed to the check in area for contestants and boat captains meeting and launch order. REGISTRATION SUBMISSION OF APPLICATION VIA THE ONLINE SECURE WEBSITE NO FEE FOR THE JUNIOR DIVISION ALL CONTESTANTS MUST CHECK IN AT THE CHECK POINT TABLE – LOCATION TBD Indicate your concurrence*Having acquainted myself with the Maryland BASS Nation Tournament Official Rules (See Standing Rules document dated March 3, 2019, available at www.mdbassnation.com), I have completed this application and submitted to the Maryland BASS Nation. In signing this application, 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. Captains and Contestants are considered as being a team for the day…both must adhere to all boat and MBN tournament rules. For questions, contact the tournament director: June McClosky the primary contact: mdbassnationyouth@gmail.com I understand and agree to the following statements Δ
