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2014 Entry Form

Participant #1________________________________
Address____________________________________
City __________________State ______Zip_________
Phone (______)______________________________
E-mail______________________________________
Signature________________________
Participant #2________________________________
Address____________________________________
City __________________State ______Zip_________
Phone (______)______________________________
E-mail______________________________________
Signature________________________
Boat Information
Brand_____________________
Brand of Motor ___________________HP__________
In consideration of being allowed to participate in the 2013 Winnebago Walleye League, I agree
to the following terms and conditions:
(Initials______________) I understand that there is a risk of injury involved in operating a boat
and fishing. I understand that there is a risk of injury to me or other individuals and property while
participating in the tournament. I agree to maintain good conduct, follow all State fishing and
boating rules. I will maintain insurance for myself and my property, as well as insurance to cover
damage that I may inflict to the property of others. I will not hold Fort Fremont Marine or any
sponsors liable for my actions during this event.
Day Preferred (Wednesday will fill first)
choice)

Wednesday

Thursday

*Cost is $200 per team for the 8 week league due when signing up.

(Circle first