Official Entry Form

Va. Top 100
494 Walton Street
Strasburg, Va. 22657
$35.00 Individual Membership (good for 1 season)
$995.00 entry fee per team per tournament

  • Angler 1 (Boater):

  • Angler 2 (Partner):

  • SSN required for tax purposes. Fees are non refundable and not transferable. Participant Release of Liability
    In consideration of being allowed to participate in any way in Va. Top 100 Bass Tournaments, we acknowledge and agree:
    1. The risk of injury from activities involved in tournament fishing is significant, including the risk of permanent injury or death and while particular rules, equipment and personal discipline may reduce the risk, the risk of serious injury does exist, and
    2. I knowingly and freely assume all such risks, both known and unknown and assume full responsibility for my participation and
    3. I agree to comply with the terms and conditions of participation and
    4. I, for myself and behalf of my heirs, personal representatives and next of kin, Hereby Release, Indemnify and Hold Harmless the Va. Top 100, its officers, agents, and/or employees,
    5. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK OF AGREEMENT AND THE RULES GOVERNING THESE EVENTS, FULLY UNDERSTAND THEIR TERMS, UNDERSTAND AND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY MAILING IN OR ALLOWING VA. TOP 100 TO RUN MY TOURNAMENT FEE VOLUNTARILY WITHOUT ANY INDUCEMENT.
    6. I hereby agree to waive my rights of privacy or publicity with regard to the programs of the tournament in which I appear and consent to Va. Top 100 (and its parent, affiliated and subsidiary companies, its owners, directors, employees and agents and those acting under their permission or upon their authority), copyrighting, distributing, televising, publishing and using in any way the audio and visual portions of any television videotape, film and photographs or pictures of me or of interviews, scenes or other sequences in which I may be included, and any reproduction thereof, anywhere at any time through any medium or media for advertising, promotion, trade, television programming or other lawful purpose whatsoever; and I shall not be entitled to receive any royalties or other compensation in connection with such use.
    Participants of Va. Top 100 RIGHTS
    Va. Top 100 holds the content rights to the tournaments it owns and operates. However Va. Top 100 grants certain exceptions, including the following content rights, to tournament participants:
    a) Anglers may use up to 15 minutes of video, shot by the angler during a tournament, for promotional or marketing purposes, and in social media.
    b) Still photos taken by an angler during a tournament may be posted to social media and the angler’s website.
    c) Va. Top 100 also encourages anglers to send photos, videos and updates to alanturner@vatop100.com for exposure on Va. Top 100.com website and our social media pages.
  • BOATER
  • PARTNER
  • $0.00

Payment

Make Check payable to:
Va. Top 100

Mail to:
Va. Top 100
494 Walton Street
Strasburg, Va. 22657

$35.00 Membership fee (good for 1 season)
$995.00 entry fee per team per tournament