Knights of Columbus / Old Milwaukee
Fishing Tournament
June 6, 2009

Please print & fill out this form in its entirety and return it, with registration fee to:
K of C Fishing Tournament, P.O. Box 82, Hubbell MI 49934

ENTRY FORM / WAIVER

Knight of Columbus, McCabe Distributing, Keweenaw County, Houghton County, tournament workers, and the state of Michigan shall not be responsible for any accident or injury resulting from participation or as a spectator during this event. The signature on this entry form denotes the agreement with all rules and waivers of liability by the above mentioned. Any entrant under 18 years of age requires the signature of a parent on application.


Team of Boat Name:_______________________________________________________
Name of Sponsor (If applicable)._____________________________________________

First Teammate:
Name________________________________Age______M____F___DOB___/___/___
Address________________________________________Phone#_____-_____-_______
E-mail Address________________________________________

Second Teammate:
Name________________________________Age______M____F___DOB___/___/___
Address________________________________________Phone#_____-_____-_______
E-mail Address________________________________________

Third Teammate:
Name________________________________Age______M____F___DOB___/___/___
Address________________________________________Phone#_____-_____-_______
E-mail Address________________________________________

Forth Teammate:
Name________________________________Age______M____F___DOB___/___/___
Address________________________________________Phone#_____-_____-_______
E-mail Address________________________________________


Date___/___/_____Signature______________________________Time_____________
Date___/___/_____Signature______________________________Time_____________
Date___/___/_____Signature______________________________Time_____________
Date___/___/_____Signature______________________________Time_____________
One Fee of $45.00 per teammate allows your team to fish BOTH Categories.(Walleye AND Pike)
Early registration $40.00 per contestant before May 29, 2009
If you have any questions, please call Ph: 906-337-2343 or 906-296-9425 or 906-296-0139
*Prize Fund is based on a minimum of 90 entries and may be altered if necessary