05/03/26 Otisco Lake High School Registration

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2026 New York B.A.S.S Tournaments

Angler 1: Name *

Birth Date *

YYYY

Address *

City *

State *

Zip Code *

Phone Number (Include Area Code) *

Angler 1: Email *

Grade as of Sept. 2025 *

Other:

Do you have any Medical Impairment we may need to know about? *

If Yes, please describe below

Angler 1: BASS Number

Angler 1: Boaters Certification Number

Rules:

READ AND ACKOWLEDGE

I have read and acknowledge the rules & statement posted above. *

Yes

Angler #1 Signature *

Parent Signature *

Date *

YYYY

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