Charter Cup Fishing Tournament Boat Registration Form

CAPTAIN INFORMATION:
CAPTAIN'S NAME*
First Last
CONTACT NAME
First Last
(If different from Captain's Name)
BUSINESS NAME*
(IF NONE TYPE N/A)
BOAT NAME*
BOAT LENGTH*
BOAT MAKE*
ADDRESS*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
BATTLE OF THE BADGES*
- YES
- NO
PLEASE CHECK THE BOX IF YOUR BOAT IS PARTICIPATING IN THE BATTLE OF THE BADGES
DEPARTMENT/STATION
PLEASE INDICATE WHAT DEPARTMENT/STATION YOUR BOAT IS REPRESENTING
LIST ANGLERS
6 ANGLER MAXIMUM - IF YOU DON'T HAVE 6, TYPE N/A IN FIELDS.
ANGLER #1*
First Last
ANGLER #2*
First Last
ANGLER #3*
First Last
ANGLER #4*
First Last
ANGLER #5*
First Last
ANGLER #6*
First Last

CAPTAIN INFORMATION: