CAPTAIN's REGISTRATION
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Captain's Name
Address
City
State
Zip
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Cell Phone
Email
Fish Out of Boat
Fish On Shore / Dock
Type Boat
Max boat capacity
I will be taking youths 6-15 yrs of age in my family (or friend's family).
Each youth will be registered separately on child's registration form.
Yes
No
I will be willing to take a maximum of 2 unaccompanied
registered youths 6-15 yrs of age.
Yes
No
Captains will insure that all of the registrants have and wear approved life jackets, and have
fishing poles, tackle and bait.
In the event of weather related tournament cancellation October 20th,
and rescheduling October 27th, I will attend and perform my duties as
team captain on Saturday, October 27th.
Yes
No
I have read and understand the rules for this event and agree to abide by them. I will keep the
registrant's safety as my highest priority:
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Agree
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Signed
This electronic signature shall be as valid as an original signature of the registrant and shall be effective to bind this registration.
If you don't receive a confirmation after you hit SUBMIT please click HERE to
send your information. Please follow what is requested on these forms.
October 20, 2018
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REQUIRED FIELDS