Ultimate Angler Challenge Series Team Entry Form

ULTIMATE ANGLER CHALLENGE SERIES

2010 Team Registration Forms

Please print and fill in one of the forms below:

MS Word version (.doc) (click here)

Or print this page, fill it out and send it.

We hope to see you on the water..

Ultimate Angler Challenge Staff

ULTIMATE ANGLER CHALLENGE SERIES
www.ultimateanglerchallenge.com

2010 Team Registration Form

Required Information:
Name 1:                      ______________________________________________
Street Address             ______________________________________________
City, State Zip              ______________________________________________
Daytime Phone            ______________________________________________
Email:                         ______________________________________________

Signature 1: ________________________________________

Name 2:                      ______________________________________________
Street Address             ______________________________________________
City, State Zip               ______________________________________________
Daytime Phone             ______________________________________________
Email:                          ______________________________________________

Signature 2: ________________________________________

PLEASE CHECK EVENTS YOU WANT TO FISH:

Ultimate Angler Bass Events:

         May 29, 2010 Lake Vermilion, Cook, MN. $50/team.

         June 12, 2010 Blue Lake, Nashwauk, MN. $50/team.

         June 13, 2010   Ely Lake, Evelth, MN. $50/team.

         July 17, 2010 Island Lake, Duluth, MN. $50/team.

         July 18, 2010   Fish Lake, Duluth, MN. $50/team.

         Aug 14, 2010 Pokegama Lake, Grand Rapids, MN. $50/team.

         Aug 15, 2010 Wabana Lake, Grand Rapids, MN. $50/team.

         Sept 18, 2010 Farm Island Lake, Aitkin, MN. $50/team.

         Sept 19, 2010   Lake Minnewawa, Mcgregor, MN. $50/team.

Ultimate Angler Multispecies Events:

         June 2010 Island Lake Reservoir, Duluth, MN. $50/team.

Annual Multispecies.com membership $20.00/yr. per person. Required before fishing any events.

TOTAL ENCLOSED: ____________________

Payment Method: Personal check, Cashier’s Check or Money Order.

Please make write checks out to: “Multispecies .com”

This form gives permission for Multispecies.com to publish any photos or video taken for the fishing tournament(s) listed above to be used for promoting fishing as multispecies .com sees fit. These photos and/or videos can be used on the web as well. These photos and videos will be the sole property of Multispecies.com.

This form must be completed, signed and sent with your payment.

Upon registration you are acknowledging you have read the rules and will not hold the tournament, tournament anglers, or tournament officials, responsible for any injury or damage incurred during tournament activities, and I will be solely accountable for any consequences of my actions. I will to the best of my ability, adhere to the rules of the tournament, as well as be responsible for the actions of my fishing partner.

Please Return To:
Multispecies .com
Ultimate Angler Challenge Series
106 2nd Street, Proctor, MN 55810
Al @ (218) 390-5676 / Doug @ (218) 390-9973
e-mail: al@ultimateanglerchallenge.com / doug@ultimateanglerchallenge.com