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M.S.S.A. Frederick Chapter Angler of the Year Entry Form
http://www.mssafrederick.com
2004
Angler
of the Year - Entry Form
Angler:_____________________ MSSA
Membership #:____________
| Adult: |
[ ] |
Chesapeake Bay: |
[ ] $10.00 |
Make checks payable to:
MSSA Frederick Chapter |
| Junior: |
[ ] |
Atlantic: |
[ ] $10.00 |
| |
Both: |
[ ] $15.00 |
I have read and understand the MSSA FREDERICK CHAPTER ANGLER OF THE YEAR CONTEST REGULATIONS. I agree to comply with the regulations.
I agree that the decisions of the Rules Committee are final. I understand that: I fish at my own risk; that the M.S.S.A. FREDERICK
CHAPTER shall not be liable for any injury which I may incur participating in this Contest; and that my participation in this
contest is strictly voluntary.
____________________________ ________________
Angler Signature Entry
Date
2004 Rules Committee
Certification of Angler
| MSSA member in good standing? |
[yes] [no ] |
| Frederick Chapter member in good standing? |
[yes] [no ] |
| Entry Fee Paid? |
[yes] [no ] |
| If/was a "Junior Angler" is under 15 at time of application? |
[yes] [no ] |
| Entry fee paid? |
[yes] [no ] |
____________________________
Angler Number |
For the MSSA Frederick Chapter:
____________________________ ________________
By: Authorized Rules Committee Member Date
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