NAPRA 2023 FORM

WELCOME TO NAPRA 2023. THIS FORM IS HELP SECURE A SPOT IN EITHER THE:

* YUM ELITE SERIES (LIMIT OF 20)

* BANDIT OPEN STREAM SERIES OR "BOSS" (LIMIT OF 20)

* BOTH
BEFORE WE START, PLEASE CONFIRM ONE OF THE 4 OPTIONS...

YES, REJOINING NAPRA JOINING FOR THE FIRST TIME NOPE, I AM NOT RETURNING
FEE BREAKDOWN:

THIS IS TO CONFIRM YOUR SPOT. FEES ARE DUE JANUARY 1ST, 2023. AFTER JANUARY 15TH THEIR WILL BE NO BACKING OUT UNLESS REASONING APPROVED BY NAPRA BOARD.
My Products
prev next ( X )
YUM SERIES $ 100.00

BOSS SERIES $ 60.00

BOTH SERIES $ 110.00

BUDDY DISCOUNT $ 50.00
IF YOU HAVE A BUDDY JOIN ITS $50 FOR YOU AND $50 FOR EACH BUDDY YOU GET TO JOIN! THAT MUST BE NEW TO THE ELITE SERIES TO QUALIFY...

Total $ 0.00
LIST OF ANGLER (S) YOU ARE REFERRING. ONCE CONFIRMED WE WILL GIVE YOU THE DISCOUNT ON YOUR BILLING REMINDER DECEMBER 1, 2022.
ANGLER INFORMATION
Name *

First Name Last Name
Are you over 18 ? *

Yes No
Address *

Street Address

Street Address Line 2

City

Postal / Zip Code
Home Phone *

Area Code Phone Number
Cell Phone

Area Code Phone Number
E-mail *
DIVISION BREAKDOWNS:

*YUM SERIES INVOLVES TRAVELING TO A CENTRAL LOCATION AS A GROUP ON SUNDAYS FOR 4 OF THE 6 EVENTS.

*BOSS SERIES IS WHERE YOU CAN FISH ANYWHERE YOU WANT FROM 6AM FRIDAY TO 1PM SUNDAYS. NOTE THAT IF YOU ARE DOING BOTH YOU MUST NOT FISH THE DESIGNATED ELITE SITES THE FRIDAY OR SATURDAY OF THOSE EVENTS.

*BOTH OPTIONS INVOLVES FISHNG THE SAME WEEKEND AND YOU CAN COUNT YOUR ELITE TOTALS FOR BOTH.
WHICH DIVISION(S) ARE YOU INTEREST IN COMPETING IN?

YUM ELITE BOSS SERIES BOTH
Emergency Contact & Health Insurance Information

This is in case we are out fishing and something comes up in terms of health. This is to ensure that if NAPRA is your first line of support we are giving you the best help we can in case of an emergency.
Emergency Contact's Name *

First Name Last Name
Relationship *
Phone Number *

Area Code Phone Number
KNOWN ALLERGIES
MAJOR INJURIES THAT CAN AFFECT YOUR ABILITY TO FISH
DO YOU WEAR GLASSES OR CONTACTS DURING FISHING?
DO YOU CARRY MEDICINE WITH YOU THAT YOU MAY NEED ACCESS TO? IF SO PLEASE DESCRIBE
ANGLER Permission For Emergency Treatment In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for myself.
Name of Physician / Emergency Medical Care Facility
PLEASE VERIFY YOU ARE NOT A BOT OR MEMBER OF ISIS *
NAPRA WAIVER

WHILE ANGLING CAN BE FUN, INJURIES AND DAMAGE CAN HAPPEN. BY SIGNING THIS YOU ACKNOWLEDGE THAT NAPRA LLC., THE BOARD, AND ITS SPONSORS ARE NOT RESPONSIBLE FOR EQUIPMENT FAILURE, BREAKING, CAR ISSUES, THE APOCOLYPSE, OR YOUR HEALTH. YOU ARE FISHING ON YOUR OWN FREE WILL AND WILL MAKE SMART CHOICES WHILE ON THE WATER, OFF THE WATER, AND TRAVELLING TO AND FROM EVENTS.
NAPRA WAIVER

WHILE ANGLING CAN BE FUN, INJURIES AND DAMAGE CAN HAPPEN. BY SIGNING THIS YOU ACKNOWLEDGE THAT NAPRA LLC., THE BOARD, AND ITS SPONSORS ARE NOT RESPONSIBLE FOR EQUIPMENT FAILURE, BREAKING, CAR ISSUES, THE APOCOLYPSE, OR YOUR HEALTH. YOU ARE FISHING ON YOUR OWN FREE WILL AND WILL MAKE SMART CHOICES WHILE ON THE WATER, OFF THE WATER, AND TRAVELLING TO AND FROM EVENTS.
Signature *

Clear
I have read and agree to the above conditions *

Yes No
Confirmation E-mail *
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform

FEE BREAKDOWN: