Puyallup Hawg Hunters - Entry Form

 

 



Captain Name:
________________________________________________________________

 

Address: ____________________________________________________________________

 

City: ______________________________State: _______________Zip: _________________

 


If you would like an email acknowledgement that your entry fee has been received provide your email

address: ___________________________________________________________________

 

 

 

Partner Name: ________________________________________________________________

 

Address: ____________________________________________________________________

 

City:  _____________________________State: ________________Zip: ________________

 


 

I/We have read, understood, and agree to abide by all rules and regulations associated with the Lake Sammamish Open or the Bob Michelsen Memorial Team Bass Tournament, and hold harmless all sponsors volunteers and tournament officials from any and all claims for injury or damages.



Signed Captain
:____________________________________
Date:______________________

 

Signed Partner:____________________________________ Date:______________________
 

(parent must sign if either contestant is under eighteen)

 

Please make checks payable to The Puyallup Hawg Hunters.

 

For information call:

 

Mark Mrzena 253 861-0189 mrmrzena@outlook.com

 _____________________________________________________________________

 

 

MAIL TO:

 

Aaron Christel
15502 120AVE E.
Puyallup, WA 98374