PRINT THIS PAGE AND FILL OUT BOAT NAME: _________________________________________ CAPTAIN'S NAME: _____________________________________ ADDRESS: ________________________________________________________________ CITY: _____________________________ STATE: ___________ ZIP: ___________ CELL PHONE: __________________________ EMAIL ADDRESS: _________________________________ JUNIOR ANGLER #1 _____________________________AGE_________ JUNIOR ANGLER #2 _____________________________AGE_________ JUNIOR ANGLER #3 _____________________________AGE_________ JUNIOR ANGLER #4 _____________________________AGE_________ JUNIOR ANGLER #5 _____________________________AGE_________ JUNIOR ANGLER #6 _____________________________AGE_________ YOUR FISHING DAY: Fishing will be from 7:00 AM – 3:00 PM on Thursday, JUNE 5th WAIVER CONTRACT: APPLICANT SIGNATURE: ____________________________________ DATE: _________________ ENTRY: $25 PER Junior Angler (MUST BE RECEIVED BY 7:00am 6/5/25) __________ FILL OUT THE ENTRY FORM, PRINT IT, INCLUDE PAYMENT AND MAIL/DROP TO TOURNAMENT HEADQUARTERS |