GEH Striper Registration

"The Best Little Paddle Shack in South Jersey"
presents
The Great South Jersey Striped Bass Kayak Fishing
October Open Tournament 2005
Trophy Fish Registration Form

Weight of Fish:___________________________ Length of Fish:_______________________________________

Bait Used:___________________________________ Date Caught ____________Time Caught______________

Specific Location Caught:______________________________________________________________________

Witness Info

Name:___________________________________________________________________________ Age:______

Street Address:_______________________________________________________________________________

City: _______________________________________________________________State: _____Zip:___________

Telephone:(____)-___________________________email:____________________________________________

Witness Signature:____________________________________________________________ Date:____________

Weigh In Station Info

Business Name:_______________________________________________________________________________

Street Address:________________________________________________________________________________

City: ______________________________________________________________State: _____Zip:_____________

Telephone:(____)-____________________________email:_____________________________________________

Weigh In Attendant's Name:________________________________________________________ Date:__________

Weigh In Attendant's Signature:____________________________________________________________________

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