NATIONAL TEEN ANGLER EVENT REGISTRATION

Florida Freshwater Regional

DECEMBER 14

LAKE FAIRVIEW

MANDATORY MEETING

in the Gander Mountain Lodge Room

DECEMBER

NO MEETING - NO FISHING

NEW TEEN ANGLERS MUST HAVE COMPLETED THEIR BOATERS SAFETY AND HAVE A COPY OF THEIR CARD TO SHOW US,

(LAST REPORT CARD FROM 2007 SCHOOL YEAR)

A SIGNED AND NOTARIZED LIABILITY FORM AND

PROOF OF A 2.0 GPA ( ALL TEEN ANGLERS)

MUST ATTEND MANDATORY MEETINGS

*(This will be checked when report cards come out throughout the year)

IN ORDER TO FISH IN ANY OF THE EVENTS

MAKE SURE THAT YOU FILL IN ALL OF THE INFORMATION

** FILL OUT A SEPARATE REGISTRATION FORM FOR EACH TEEN ANGLER **

TO REGISTER FOR AN EVENT YOU MUST BE A REGISTERED TEEN ANGLER

NAME: AGE:

DATE OF BIRTH:

SCHOOL:

Address

City ZIP:

COUNTY: STATE:

PHONE:

EMAIL:

DO YOU HAVE ACCESS TO A BOATYESNO

WILL YOU USE YOUR BOAT FOR THIS EVENT?YESNO

BY REGISTERING YOU AGREE TO THE EVENT RULES AND REGULATIONS

IF YOU HAVE ANY PROBLEMS SUBMITTING THIS FORM, PLEASE EMAIL YOUR NAME, CONTACT TELEPHONE NUMBER AND EMAIL ADDRESS TO US