2017 OFFICIAL ENTRY FORM – KENTUCKY LAKE OUTDOOR TRAIL (KLOT)               

Event 1  ________________________________                      Event 4 ______________________________

Event 2 ________________________________                       Event 5 ______________________________

Event 3 ________________________________                       Classic ______________________________           

(Please Print) Boater Name _________________________________________________________________

Address ________________________________________________________________________________

City, State, Zip ____________________________________________________________________________

Cell Phone _____________________________       Email: ________________________________________

Boat: Year-Make-Model ____________________________________________________________________

Motor: Year-Make-Model-HP ________________________________________________________________

Partner Name
___________________________________________________________________________

Address ________________________________________________________________________________

City, State, Zip ___________________________________________________________________________

Cell Phone _____________________________       Email: _______________________________________


SUBSTITUTION: 
___________________________ will be substituting for ____________________________

I am familiar with & have read the rules & in signing this application I hereby waive & release all tournament & state officials, sponsors & contestants from all claims due to injury or damage incurred in connection with all 2017 Kentucky Lake Outdoor Trail events. By signing, I submit myself to a polygraph test at the discretion of tournament officials & agree to abide by the results as interpreted by the professionals conducting the test. I also agree to abide by those rulings & decisions of the tournament director conducting these events. I swear that the above facts are completely accurate & true to the best of my knowledge.

Signature ___________________________________   Social Security No: _____________________________

Partner Signature _____________________________   Social Security No: ____________________________

Send entry form & $120 per event (check or money order) made payable to:

Sportsmens Digest     1470 Oak Grove Church Road     Mayfield, KY 42066
Randy Sullivan 270-559-8362   
This email address is being protected from spambots. You need JavaScript enabled to view it.  www.sportsmensdigest.com