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


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






Aaron Christel
15502 120AVE E.
Puyallup, WA 98374