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
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