Lower Columbia Walleye Club

Fall Classic Walleye Tournament

 

Please Print Clearly

 

                                 1st Team Member                                                          2nd Team Member

 

Name______________________________________   Name______________________________________                                                                                                      Address____________________________________   Address____________________________________    

City___________________ State_____ Zip________   City___________________ State_____ Zip________

Phone______________________________________   Phone_____________________________________

SSN#_______________________________________  SSN# _____________________________________

 

 

We have completed the application and have submitted the total entry fee of $200.00 for the participation of the tournament. In consideration of the privilege of participation in the tournament, we hereby waive and release the tournament officials and sponsoring organizations from any and all claims for injury and or damage incurred in connection with this event. We agree that the tournament host shall have the exclusive rights to take photographs or recordings and to use or dispose of such material in any lawful manner. We have either read the tournament rules and found them acceptable, or waive the readings of such and agree to abide by them.

 

 

 

 

Signature of 1st Team Member                             Signature of 2nd Team Member

 

 

Sponsor                                                                 Boat brand, length, color        Motor brand & HP

 

I Hereby affirm that the boat, engine, motor or water containers I will use during this fishing contest have NOT been in physical contact with waters east of the continental Divide in the last 30 days.

 

              _________________________________          ____________

                                     Signature                                               Date

 

Please Check One:   Pro Team_____      Rookie_____       Coed______     

 

 

The Vancouver Yacht Club has invited us to join them for dinner at their facility on the waterfront at the Port of Camas / Washougal August 15th Friday evening at 6 PM with the drivers meeting will follow the dinner. Chicken $7.00, Steak $11.00. Number of people attending the dinner ________.                                 

 

Make dinner checks payable to Vancouver Yacht Club.

 

Basic Entry, Per Team                          $200.00

$40 Total Weight Option Pool               $

$40 Big Fish                                          $______

Total Amount Enclosed                         $

 

 

 

This entry must be accompanied by payment of $200

Make Checks payable to: Lower Columbia Walleye Club, PO Box 30454, Portland, OR 97294

Questions can be directed to Larry McClintock, 503-257-0553, lwmcclinto@aol.com