Junior Jubilee Signup Form
1 Registration Form Per Angler Required
Registration #
Name
*
First Name
Last Name
Birth Date
*
-
Month
-
Day
Year
Date
Have you ever been fishing?
*
Yes
No
Does your family own a boat?
*
Yes
No
Have you ever been on a boat ride?
*
Yes
No
Have you ever fished on a boat?
*
Yes
No
How many children in your household?
*
The following section to be completed by a parent or guardian.
Parent/Guardian
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Terms/Conditions
*
By checking this box, I agree to follow all the rules as set forth for the Junior Jubilee tournament and agree to fish ethically, to be a good sportsman and support conservation.
Permissions
*
By checking this box you agree that your anglers picture may be used on social media, newspaper, CCA of MS website and possibly on the news.
Angler's Signature
*
Parent/Guardian Signature
*
Score
Submit
Should be Empty: