NATIONAL TEEN ANGLER EVENT REGISTRATION

Florida Space Coast

SEPTEMBER 18TH

NEW TEEN ANGLERS MUST HAVE COMPLETED THEIR BOATERS SAFETY AND HAVE A COPY OF THEIR CARD TO SHOW THEIR TEENS LEADERS, PETER AND SEAN

A SIGNED AND NOTARIZED LIABILITY FORM AND

PROOF OF A 2.0 GPA ( ALL TEEN ANGLERS)*

 ATTEND MEETINGS

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

TO QUALIFY TO FISH  THE EVENTS

PLEASE 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: 

HIGH SCHOOL OR MIDDLE

Address 

City            ZIP: 

COUNTY:     STATE: 

PHONE:       

 EMAIL: 

MOVE THE DOT TO THE ONES THAT APPLY

DO YOU NEED A BOAT FOR THIS TOURNAMENTYESNO

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

CLICK HERE TO SEND EMAIL