BOATER INFORMATION:
Name: Cell Phone #:
Address:
Agency/Agency Phone #:
Agency Address:
CHECK HERE IF THE BOATER IS RETIRED LAW ENFORCEMENT
CO-ANGLER INFORMATION:
Name: Cell Phone #:
Address:
Agency/Agency Phone #:
Agency Address:
CHECK HERE IF THE CO-ANGLER IS A FAMILY MEMBER
BOAT INFORMATION:
Make: Model:
Motor Size: GA Registration #:
Color: Length:
------------------------------------------------FOR OFFICIAL USE ONLY-------------------------------------------------------------------------------
Boat #: Check In Time: Late Penalty:
Total # of Fish: # of Dead Fish: Weight Penalty:
TOTAL GROSS WEIGHT: TOTAL NET WEIGHT: BIG FISH:
2016 Police Week Bass Fishing Tournament
Registration Form
Please return this form to Jennifer Parson at [email protected] OR 100 Watson Blvd. Warner Robins, GA 31088
