ROX Team Trail Winter Series Entry Form
Entry
*
Team
Individual Angler
Boater Name
*
First Name
Last Name
Boater Phone Number
*
-
Area Code
Phone Number
Boater Email
*
Boater Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Co-Angler Name
*
First Name
Last Name
Co-Angler Phone Number
-
Area Code
Phone Number
Co-Angler Email
(Not Required)
Co-Angler Address (Not Required)
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Questions or Comments
Boater Signature
*
Co-Angler Signature
Required
*
prev
next
( X )
Membership Fee
$
50.00
Have you registered previously for a ROX Team Trail tournament and/or paid the $50 membership fee?
NO
YES
Nov. 19th BSLBD Entry Fee
$
150.00
Dec. 10th Tablerock Entry Fee
$
150.00
Jan. 14th Bull Shoals Buck Creek Entry Fee
$
150.00
Feb. 11th Greers Ferry Entry Fee
$
150.00
March 11th Norfork Cranfield Entry Fee
$
150.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
I hereby apply to enter the ROX Open Team Trail. I have read and understand the rules and release all the tournament officials, host, sponsers, contruibutors and ROX Outfitters of all civil and claims of injury and/or damages that may occur in connection with the tournament.
*
I agree
Print Form
Submit
Submit
Should be Empty: