Angler Registration

Two teams that sign up BEFORE the end of September will be randomly
selected to win two $50 amazon gift cards.
Oct. 29th is the deadline to receive a BLC shirt, but they can be purchased
at the event for 20$

Questions? Email us at
bobbylanecup@gmail.com

If mailing a check for angler registration please include angle name and grade level on check

"*" indicates required fields

Email*

Angler #1 First Name*

Angler #1 Last Name*

#1 Street Address*

Street Address #1 City #1 State #1 Zip

#1 Phone*

#1 Parent Phone*

#1 Email*

#1 School*

#1 Grade Level*

#1 - Are you a member of..*

B.A.S.S. Nation

TBF- Student Angler Federation

Not a Member of either

#1 Shirt Size*

Angler #2 First Name*

Angler #2 Last Name*

#2 Street Address*

Street Address #2 City #2 State #2 Zip

#2 Phone*

#2 Parent Phone*

#2 Email*

#2 School*

#2 Grade Level*

#2 - Are you a member of..*

B.A.S.S. Nation

TBF- Student Angler Federation

Not a Member of either

#2 Shirt Size*

While we do have some volunteer captains coming that weekend, please use all your resources to secure a captain for your team before then. If you do not have a captain at the time of registration and secure one later, please email us and let us know the name at bobbylanecup@gmail.com.

Boat Captain First Name

Boat Captain Last Name

Captain Address

Street Address Captain City Captain State Captain Zip

Captain Phone

Entry Fee

Price:

Payment Method*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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