2019 JOLLY MON KING CLASSIC BOAT NAME: _________________________________________________________________________
CAPTAIN'S NAME: ______________________________________________________________________ ADDRESS: ______________________________________________________________________________ CITY: ___________________________________________ STATE: ___________ ZIP: ___________ CELL PHONE: __________________________ EMAIL ADDRESS: _________________________________ S.S.# ______________________________ (required) JR. ANGLER NAME(S)& AGE(S): _____________________________________________________________ _____________________________________________________________ LADY ANGLER NAME(S): _____________________________________________________________________ _____________________________________________________________________ SENIOR ANLGER NAME(S): ___________________________________________________________________ TOTAL HP OF ALL ENGINE(s): _____________ BOAT LENGTH (as advertised by mfg):___________ BOAT BRAND: _______________ ENGINE BRAND: _______________ KINGFISH CUP PARTICIPANT? If YES, KFC number & Capt's name: #____________ Name:_______________________ DECLARE YOUR FISHING DAY I CHOOSE TO COMPETE: ______ SAT, June 15 _______ SUN, June 16 _______ I WILL CALL TO DECLARE WAIVER CONTRACT: SIGNATURE: _________________________________________________ DATE: ______________ ENTRY: $300 _______ BREAK THE RECORD TWT: $20 __________ (current accrued pot is $4300) BIG FISH TWT: $100 __________ WHALE TWT: $500 __________ HIGH ROLLERS TWT: $250 __________ SMALL BOAT TWT: $100 __________ LADY ANGLER: $100 __________ FILL OUT THE ENTRY, PRINT IT, INCLUDE PAYMENT AND MAIL Make checks payable to: |