Region 2 Team Entry Form

Fill out completely and bring to the tournament event you wish to participate in.
Call your local tournament director for any details.

Region: ___________________ Lake:________________ Date: _______________
ANGLER 1

Name:________________________ S.S. #:_______-_______-______

Address:_________________________________________________

City:__________________ ZIP:_________ Phone:(______)________

Signature:________________________________________

 
ANGLER 2

Name:________________________S.S. #: ______-_______-______

Address:_________________________________________________

City:__________________ ZIP:_________ Phone:(______)________

Signature:___________________________________________

 
Team Entry
 $175 $
Tournament Options
 See Director $
Angler's Choice Memberships
 $45 Each $
Angler's Choice Family Membership
 $75 $
Total
   $

You must sign a liability waiver at the tournament.
Make checks out to Tournament Director.