* indicates required field

1. Team Name*
2. Boat
3. Length
4. Motor
5. HP
6. Dock Slip Yes No
7. Licensed Division Yes No
8. Trailer Yes No
   

9. # of Anglers on Team

10. ---

11. Angler #1 Name*
12. Email*
13. Phone
14. Address
15. City
16. State
17. Zip Code
18. Sex Male Female
19. Shirt Size Medium Large XLarge XXLarge
20. Youth Yes No
21. Age

22. ---

23. Angler #2 Name
24. Email
25. Phone
26. Address
27. City
28. State
29. Zip Code
30. Sex Male Female
31. Shirt Size Medium Large XLarge XXLarge
32. Youth Yes No
33. Age

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34. Angler #3 Name
35. Email
36. Phone
37. Address
38. City
39. State
40. Zip Code
41. Sex Male Female
42. Shirt Size Medium Large XLarge XXLarge
43. Youth Yes No
44. Age

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45. Angler #4 Name
46. Email
47. Phone
48. Address
49. City
50. State
51. Zip Code
52. Sex Male Female
53. Shirt Size Medium Large XLarge XXLarge
54. Youth Yes No
55. Age

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56. Angler #5 Name
57. Email
58. Phone
59. Address
60. City
61. State
62. Zip Code
63. Sex Male Female
64. Shirt Size Medium Large XLarge XXLarge
65. Youth Yes No
66. Age