Border Walleye Challenge
(One form must be completed in full by each team and submitted with $100 to league advisory committee) 

NAME ______________________________________________________________________________

ADDRESS  _________________________________________________________________________

CITY/STATE/ZIP: _____________________________________________________________________

 PHONE _________________________________   Age:  __________________  Sex:  ____________

 BRAND OF BOAT  ____________________  H.P. ________  

E-MAIL______________________________________________________________________________

DATE  _______________________  SIGNATURE  __________________________________________

 PARTNER NAME: ____________________________________________________________________

 ADDRESS  _________________________________________________________________________

CITY/STATE/ZIP: _____________________________________________________________________

 PHONE _________________________________   Age:  __________________  Sex:  ____________

 BRAND OF BOAT  ____________________  H.P. ________  

E-MAIL______________________________________________________________________________

DATE  _______________________  SIGNATURE  __________________________________________