NATIONAL TEEN ANGLER EVENT REGISTRATION

FLORIDA TREASURE COAST

    SEPTEMBER 21, 2008

J.C. PARK, SOUTH HUTCHINSON ISLAND, FT. PIERCE

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

In Order to Qualify to be a  Teen Angler 

You must show us that you have a  GPA of 2.0 or above

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

Show us your Boaters Safety Card

Turned in a notarized liability Form with a parent or Guardians signature.  

You must also attend the mandatory meeting on 

September 20,  2008    

Once the above is completed and submitted you will be eligible to fish.

NAME:    AGE: 

DATE OF BIRTH:  

Address 

City     County

State    Zip

SCHOOL:   

High School, Middle or Graduate

PHONE: 

CELL PHONE WHERE YOU CAN BE REACHED ON THE WATER

EMAIL: 

DO YOU HAVE ACCESS TO A BOATYESNO

WILL YOU USE YOUR BOAT FOR THIS EVENT?YESNO

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