Name of Contestant
City: State (2 Letter Abbreviation):
FLW and/or TBF Number:
General Release Waiver and Hold Harmless Agreement: (Must check to indicate have read and agrees to terms).
Signature to that you have read On-line Application form and Agree to Terms: (Must check to indicate have read and agrees to terms and all personal information is correct).
Remit Payment to PayPal: : (PayPal Link, click to pay, unless payment received will not be allowed to fish).
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