Keller Varsity Bass Registration
2023-2024 Season
ANGLER INFORMATION
Angler Name:
First Name
Last Name
Angler Phone Number:
Angler Email:
example@example.com (do not use school email )
High School Attending:
Fossil Ridge
Keller
Keller Central
Timbercreek
Birdville
Richland
Other
Graduating Year:
2023-2024 Grade Level:
9th Grade
10th Grade
11th Grade
12th Grade
Angler DOB:
MM/DD/YYYY
Shirt/Jersey Size:
M-XS
M-SM
M-MED
M-LG
M-XL
M-2XL
M-3XL
M-4XL
W-XS
W-SM
W-MED
W-LG
W-XL
W-2XL
W-3XL
W-4XL
PARTNER INFORMATION
Partner Name:
First Name
Last Name
Partner School:
Fossil Ridge
Keller
Keller Central
Timbercreek
Birdville
Richland
Other
Partner Grade Level:
PARENT INFORMATION
Parent Name:
First Name
Last Name
Parent Phone Number:
Parent Email:
example@example.com
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Name:
First Name
Last Name
Parent Phone Number:
Parent Email:
example@example.com
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
BOAT CAPTAIN INFORMATION
Boat Captain Name:
First Name
Last Name
Boat Captain Phone Number:
Boat Captain Email:
example@example.com
Shirt/Jersey Size:
M-XS
M-SM
M-MED
M-LG
M-XL
M-2XL
M-3XL
M-4XL
W-XS
W-SM
W-MED
W-LG
W-XL
W-2XL
W-3XL
W-4XL
Boat Make/Model/TX Number:
IE: Ranger/Z519L/TX15987
Submit
Should be Empty: