PRINT THIS PAGE AND FILL OUT BOAT NAME: ______________________________________ BOAT LENGTH : _____ BOAT BRAND: _____________ ENGINE BRAND: ____________TOTAL ENGINE HP: _______ CAPTAIN'S NAME: _____________________________________ CAPTAIN'S DOB: _____________________ ADDRESS: ________________________________________________________________ CITY: _____________________________ STATE: ___________ ZIP: ___________ EMAIL ADDRESS: ___________________________ (required) CELL PHONE: __________________________ S.S.# ______________________________ (required) Jr. Anglers(16yrs and younger) and age(s):_________________________________________________________ Sr. Anglers (male 55+ years): __________________________________________________________________ 2023 KINGFISH CUP PARTICIPANT? YES _____ NO ______ If YES, KFC #_______
I CHOOSE TO COMPETE: _________ SAT, Oct 14th _________SUN, Oct 15th ________ Will call to declare WAIVER CONTRACT: SIGNATURE: ____________________________________ DATE: _________________ ENTRY: $325 _______
"WHALE" TWT: $500 _______________ "HIGH ROLLER'S" TWT": $250 __________ "SMALL BOAT (300hp or less)" TWT: $100 ____________ "LADY ANGLER" TWT: $100 ________ FILL OUT THE ENTRY FORM, PRINT IT, INCLUDE PAYMENT AND MAIL OR DROP OFF |