Broadwater Rod and Gun
Club Tournament
Entry Form
The Broadwater
Rod & Gun Club Walleye Derby will be held on July 17, 2010 from 8:30 AM
to 2:30 PM on Canyon Ferry out of Goose Bay.
This tournament is
limited to 90 two-person teams with a $1,000 first prize based on a full
field. Each of the three team categories will have cash prizes. Three
catagories of two-person teams will compete-- female/female, male/female and
adult/child(17 & under). Contestants may have four people in the boat,
but only two fishing. The tournament will be a catch and release format, but
one fish per entrant can be kept as a trophy. A mandatory pre-tournament
rules meeting will be held at 7:00 PM on July 16, 2010 at the Broadwater Rod
& Gun Club indoor shooting range on Canton Lane one mile north east of
Townsend. For more infomation contact Doug Breker at 266-5279 (work) or
266-3102 (home) before 8:30 p.m. Or e-mail him at te@townsendelectric.com.
Entries
are expected to fill quickly, so mail in your entry forms as quickly as
possible. To enter the tournament, just print out this form, fill it in,
sign it, mail the form and your $80 (make checks out to Broadwater Rod &
Gun Walleye Derby) per two-person team to: Broadwater Rod & Gun Club
Tournament, P.O. Box 641, Townsend, Mt 59644.
FIRST TEAM MEMBER:
____________________________________________________________
ADDRESS:
___________________________________________________________________
CITY,
STATE, ZIP
CODE+4-DIGIT_________________________________________________
Age:
___________ Male:____________ Female:___________
HOME PHONE:
(_______)___________________ CELL PHONE:
(_______)___________________
E-MAIL:
_____________________________________
Angler ID# (Please use your
MFWP- ALS# which can be found on your fishing
license)_________________________
FIRST TEAM MEMBER'S
SIGNATURE:_______________________________ DATE: _______________
SECOND TEAM
MEMBER:___________________________________________________________
ADDRESS:
___________________________________________________________________
CITY,
STATE, ZIP
CODE+4-DIGIT_________________________________________________
Age:
___________ Male:____________ Female:___________
HOME PHONE:
(_______)___________________ CELL PHONE:
(_______)___________________
E-MAIL:
_____________________________________
Angler ID# (Please use your
MFWP- ALS# which can be found on your fishing
license)_________________________
SECOND TEAM MEMBER'S
SIGNATURE:_______________________________ DATE:
_______________
ADULT/CHILD TEAM ENTRY ___________ MALE/FEMALE TEAM
ENTRY _____________
FEMALE/FEMALE TEAM ENTRY ___________