Rossford Walleye Roundup Tournament Registration

Rossford Walleye Roundup Tournament Registration

Tournament Dates April 15-16, 2022
Angler # 1
Name

First Name Last Name
Phone Number

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail
T-ShirtSize:

Large XL XXL
*Tournament Winnings may be subject to IRS Tax documentation. SSN will be required if applicable
Please Sign
Date

Month Day Year
Angler # 2
Name

First Name Last Name
Phone Number

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail
T-ShirtSize:

Large XL XXL
*Tournament Winnings may be subject to IRS Tax documentation. SSN will be required if applicable
Please Sign
Date

Month Day Year
Boat Brand
Engine Brand
Electronics Brand
VHF Radio

Yes No
ODNR Watercraft Safety Requirements Compliant

Yes No
Watercraft Insurance Co.
Policy Number
Expiration Date

Month Day Year
$500.00 Entry Fee/ Per Team

Signing of this document states that both partners agree to the tournament rules/ terms and conditions for this event!
Should be Empty:

Angler # 1