2022 Ft Pierce Wild West/Fishing for Futures Application

Team Name*

Captain Name*

Select one if applicable

Lady Angler (16 & older)Youth Angler (15 & younger)

Captain Email*

example@example.com

Captain Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Captain Phone*

Area CodePhone Number

Please list team members below:

Team Member

Select one if applicable

Lady Angler (16 & older)Youth Angler (15 & younger)

Team Member

Select one if applicable

Lady Angler (16 & older)Youth Angler (15 & younger)

Team Member

Select one if applicable

Lady Angler (16 & older)Youth Angler (15 & younger)

Team Member

Select one if applicable

Lady Angler (16 & older)Youth Angler (15 & younger)

Team Member

Select one if applicable

Lady Angler (16 & older)Youth Angler (15 & younger)

Team Member

Select one if applicable

Lady Angler (16 & older)Youth Angler (15 & younger)

Team Member

Select one if applicable

Lady Angler (16 & older)Youth Angler (15 & younger)

Boat Manufacturer*

Motor Manufacturer*

# of Motors*

ENTRY FEES (all fees include a 3.5% credit card processing fee). Calcuttas can be paid for now, at a later date or at the Captain's Party.

Entry Fee$362.25

Biggest 2 fish Aggregate Wins

Big Kingfish Calcutta$107.00

Biggest 2 fish aggregate wins. 50/30/20 split

Kingfish High Roller Calcutta$517.50

Biggest 2 fish aggregate wins. 50/30/20 split

Closest to 22lbs Kingfish Calcutta$207.00

Winner takes all May weigh in separate kingfish

Heaviest KDW Calcutta$107.00

Heaviest combined kingfish, dolphin, wahoo weight wins. 50/30/20 split (See rules for additional details)

Heaviest Kingfish $103.50

Single biggest kingfish wins. 50/30/20 split

Heaviest Dolphin$103.50

Single biggest dolphin wins. 50/30/20 split

Heaviest Wahoo$103.50

Single biggest wahoo wins. 50/30/20 split

Winner Takes All KDW$107.00

Heaviest combined kingfish, dolphin, wahoo wins. Winner Takes All (See rules for additional details)

Subtotal $0.00Tax $0.00Total $0.00

Credit Card

Checks for winners will be written out to team member that filled out the required W9 form.
I have read, understand and agree to the rules of the 2022 Wild West King Rush Tournament
The person signing this application further agrees that he/she is responsible for themselves, boat & crew at all times.
Participants hereby release the Wild West King Rush Tournament and Angler Armory, Inc, its volunteers & sponsors, the City of Fort Pierce, the Treasure Coast Sports Commission and Causeway Cove Marina from all liability.
I further understand that the decision to fish is the responsibility of the Captain and/or anglers.
I have agreed to submit this application by electronic means. By signing this application electronically I certify under penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge.

I also certify that I understand the questions and statements on this application.
I have read and understand the rules for the Wild West King Rush Tournament.
I understand the penalties for giving false information or breaking the rules.
I understand that an electronic signature has the same legal effect and can
be enforced in the same way as a written signature.

Please note that no refunds will be given unless tournament is canceled or postponed by the Tournament Director. No exceptions.

Electronic Signature

First NameLast Name

Please verify that you are human*