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      Registration Form

    15th Annual Walleye & Sauger Tournament October 31st, 2010 

  Name_________________________   Name_________________________

 Address_______________________   Address______________________ 

 City___________________________  City_________________________  

 State_______ Zip _______         State _______ Zip _______

 Phone_____________________       Phone_____________________

 e-mail _____________________      e-mail _____________________ 

 I have read and I am familiar with the rules. In signing this application, I hereby release all contestants, sponsors, tournament    officials, and the Fox Valley Area Anglers from all claims of injury or damage incurred in connection with this tournament.                   

Boater #1   Signature________________________       Date________

Boater #2   Signature________________________       Date________

Parent or legal guardian to sign for minor, otherwise, each team member to sign.  

Make Checks Payable to F.V.A.A.   $80.00 Entry  ($90.00 Day of tournament)  + Optional $10.00 Big Fish Pot

Return completed form to: Fox Valley Area Anglers, P.O. Box 3217 St.Charles, IL  60174  Before 10/22/2010; After 10/22/2010 Entry Must Be Paid In Cash

Official Rules