Lady Angler Registration

Fill in Boxes on-line then PRINT form.
   Check here if this boat has fished in the Big Rock before. 
 


Boat Name
Pay Prize Money to [Winner]

Make and Length
Winner's Address

Name of Owner
Winner's City, State, Zip

Owner's Address
Winner's Social Security Number

Owner's City, State, Zip
Where Docked During Tournament

Email Address
Boat Engine Type

I, as entrant do hereby RELEASE, DISCHARGE, and HOLD HARMLESS Crystal Coast Tournament, Inc., its officers, directors, and sponsors, whether individual or corporate, from any claim for damages to my person or property incurred by my participation in the Big Rock Blue Marlin Tournament. This release applies to members of my crew and all parties fishing from my boat.

By signing the entry form and paying my entry fee, I acknowledge that I have read this release and am bound by same. This release shall also be binding on my heir, executors, administrator, or assigns.

I further do hereby acknowledge that I have read and understand the rules of the tournament and agree to be bound by the terms and conditions contained therein.


Signature

Name of Captain

Captain's Address

Captain's City, State, Zip

Mobile # on Boat for Emergencies

Year-Round Contact Phone Number

 

Level I Release and Gamefish (4 tickets)
 $500
Level II Winner Take All - Dolphin
Must enter Level I to enter Level II (2 additional tickets)
 $500
Non-Fishing Team Charitable Donation $250

Extra tickets for fishing teams $25 each.

 

Make checks payable to Big Rock
Please check which levels you are entering and add for Total.

 TOTAL:
 

Rec'd by:

 


Angler Name
Angler Name

Address
Address

City, State, Zip
City, State, Zip

Email
Email
   

Angler Name
Angler Name

Address
Address

City, State, Zip
City, State, Zip

Email
Email
   

Angler Name
Angler Name

Address
Address

City, State, Zip
City, State, Zip

Email
Email
   


Major Sponsor

Diamond Sponsor

Platinum Sponsors

2013 Official Artist

Governor's Cup


NC Governor's Cup