Unified Fishing Registration Form- Fisher/Unified Partner

Fisher's Name*

First NameLast Name

Fisher's Birth Date*

MonthDayYear

Fisher's Gender*

Fisher's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Fisher's E-mail*

example@example.com

Fisher's Mobile Number*

Format: (000) 000-0000.

BoatBank

If fishing from a boat, please give Make, Model, and Color of boat:

Yes, only 1Yes, more than 1No

Lake Regulations Apply. Catch & Release Only. Pictures of Fish/Measurements will be submitted for awards. Live Bait for Bank Fishers Only. Artificial Bait is legal for all fishers. All Species of Fish are eligible. Life Jackets must be worn by EVERYONE on a boat.

Additional safety procedures and information will be addressed the day of- prior to take off.

Check-In at 7:00AM, Take-Off at 8:00AM, Return by 4:00PM, Awards to follow.

Lunches will be available.

Any questions may be directed to Jesse Williams at jwilliams@somo.org and Monte Ryan at mr.allenryan77@gmail.com.

Registration deadline to be guaranteed a t-shirt is 8/16/2025.

Signature stating read and agree to above information:*

Unified Partner/Fisher Registration Form