Registration in Downtown Charlevoix - June 8th & 9th Noon - 8pm

2011 Lake Charlevoix Area Trout Tournament Entry Form

You are responsible for reading your rules thoroughly.

(You may register for others, total cost for all below due when mailed)

Please enclose entry fee made by: U.S. Cash, Check or Money Orders only

Captain’s Name_____________________________Boat Reg. #___________

Boat Name_______________________________

Name__________________________________________________________

Address_________________________City____________State______Zip_____

Email______________________________Phone_________________________

c $30.00 Adult   c $10.00 6-14 years   c 5 years & under free but must register

I have read and understand the rules my signature below makes my entry form valid:

Signature_____________________________________________

Name__________________________________________________________

Address_________________________City____________State______Zip_____

Email______________________________Phone_________________________

c $30.00 Adult   c $10.00 6-14 years   c 5 years & under free but must register

I have read and understand the rules my signature below makes my entry form valid:

Signature_____________________________________________

Name__________________________________________________________

Address_________________________City____________State______Zip_____

Email______________________________Phone_________________________

c $30.00 Adult   c $10.00 6-14 years   c 5 years & under free but must register

I have read and understand the rules my signature below makes my entry form valid:

Signature_____________________________________________