Tour 2010 Capt. Bob Lewis Kids Fishing Challenge Saturday December 4th, 2010 at Tropical Park in Miami, FL

Kids Challenge Entry (Includes t-shirt, rod/reel, bait, lunch, awards, and FUN!)

$0

Total Fees:

$

*Required

Parent's Information:

Parent's Name:

Angler A: (Parent's address if applicable)

*Name:

Address:

City:

State:

Zip:

Phone:

Cell:

*Email:

Gender:

M F

Jr. Angler:

Yes No

If Jr., DOB:

My signature below acknowledges that I plan to attend the Capt. Bob Lewis Kids Fishing Challenge and to have FUN!

Signature: