TRIPLE FISH CHALLENGE – APRIL 17 & 18, 2021

ANGLER REGISTRATION FORM

NOTE: If anglers purchase a community crab feed ticket when they sign up for the Triple Fish Challenge they get a 10% discount!!!

Crab plate is $36 and a BBQ plate is $22.50

HOW MANY?

Number of Adult Anglers (15 and over)

Number of Junior Anglers (14 and under)

Number of Crab Feed Tickets

Number BBQ Platter Tickets

BOATER INFO

Boaters Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Social Security Number (required for payout)

NON-BOATER ONE INFO

(1) Non-Boaters Name

First

Last

(1) Address

Address Line 1

Address Line 2

City

State

Zip Code

(1) Phone

(1) Social Security Number (required for payout)

NON-BOATER TWO INFO

(2) Non-Boaters Name

First

Last

(2) Address

Address Line 1

Address Line 2

City

State

Zip Code

(2) Phone

(2) Social Security Number (required for payout)

NON-BOATER THREE INFO

(3) Non-Boaters Name

First

Last

(3) Address

Address Line 1

Address Line 2

City

State

Zip Code

(3) Phone

(3) Social Security Number (required for payout)

Total

$ 0.00

Stripe Credit Card *

Card

Name on Card