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ENTRY FEE - $100

(Per team, Includes big fish)

No Membership Fee

CASH ONLY

SAFE LIGHT UNTIL- 3:00 PM


Liability Release

In signing this application, we understand and will abide by the rules set forth, we hereby waive and release the hosts, sponsors, agents and all other contestants from any and all claims, now and forever.


NAME:


ADRESS:


CITY, STATE, ZIP:


TELEPHONE #:


BOAT:


HORSEPOWER:


FLORIDA #:

SIGNATURE:



Sign Up at the ramp beginning at 4:30 AM

-OR CALL-

Fred Shuey

Hm (954) 724-5996

Cell (305) 903-4394

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