Tournament Sign Up (Members) MOSES LAKE 4/27&28

BOATER Name

Name

Address

Name

City

Name

US State

Name

ZIP

Name

Email

Email

Phone

Name

Date of Birth

Name

If you have a non-boater OR a junior, please fill out the rest of the form!

NON-BOATER/ JUNIOR Name

Name

Address

Name

City

Name

US State

Name

ZIP

Name

Email

Name

Phone

Name

Date of Birth

Name

Entry Fee

$40.00

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