Registration Form
Registration Form
18th Annual
Down East Youth and Adult Bass Fishing Tournament
Rocky Mount, NC
April 17-18, 2026
Registration Deadline March 31, 2026
ENTRY FEE $130____ BIG FISH $20 ____ TOTAL PAID________
PARTNER #1:
NAME: _________________________________________________ PHONE #______________________
ADDRESS: _________________________________________________________________________________
CITY, STATE, ZIP: __________________________________________________________________________
EMAIL ADDRESS: _________________________________________________________________________
PARTNER #2:
NAME: ___________________________________________________PHONE #_________________________
ADDRESS: _________________________________________________________________________________
CITY, STATE, ZIP: __________________________________________________________________________
EMAIL ADDRESS:__________________________________________________________________________
Having read the rules concerning this tournament & signed this application for entry, I agree to waive & release the sponsors, and tournament staff of all claims of personal injury, property damage or loss thereof, loss of life or any other liability incurred by me while participating in this event. Each boater must have proof of liability insurance, a current Fishing License, a current Boat Owner’s Registration and current ID.
Partner #1 Signature:_____________________________________________________________ Date: _________________
Partner #2 Signature:____________________________________________________Date:__________________________
YEAR MODEL & MAKE OF BOAT YOU ARE USING FOR THIS EVENT: _______________________OWNER: ___________
Mail Entries To: Rodney Birth 4604 Stony Falls Way, Knightdale NC 27545
Email Address: rbirth2008@gmail.com
Make Check or Money Order payable to Rodney Birth
Starting positions determined by drawing. Flights determined by number of entries. Entries will be taken morning of the tournament up until blast-off.
PLEASE! CASH ONLY AT THE RAMP!
Contact Phone Numbers: Rodney Birth – (919) 812-8530
Geno McCree – (919) 730-7310
RV Mann – (252) 904-7047