Official 2023 Registration Form

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BOATER INFORMATION

Boater NameRequired

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Boater Street AddressRequired

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Boater CityRequired

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Boater StateRequired

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Boater ZIPRequired

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Boater PhoneRequired

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Boater EmailRequired

email

Boater Emergency Contact NameRequired

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Boater Emergency Contact PhoneRequired

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Boat Make

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Boat Model

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Motor Make

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Boater Terms

I agree to the terms

BUDDY INFORMATION

Buddy NameRequired

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Buddy Street AddressRequired

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Buddy StateRequired

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Buddy CityRequired

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Buddy ZIPRequired

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Buddy EmailRequired

email

Buddy Cell Phone(For Emergencies)

Item	Qty	Total
2023 Tournament Entry Fee	1	150.00

Submit Form

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