OV $15,0ER00 IN PRIZ ES! $5,00P0rize! Top Boat Saturday, June 13, 2015 Homestead Bayfront Park & Marina Kick-Off Party/Captain’s Meeting The Mutineer in Florida City on US1 & Palm Drive Thursday, June 11, 2015, 6 - 8 pm TOURNAMENT ENTRY FEES Early Bird Entry Fee Before June 1st Individual Entry (Minimum of 2 anglers per boat) ....................................$100 Boat Entry for 4 Anglers ......................................................................................$400 Late Entry Fee After June 1st Individual Entry (Minimum of 2 anglers per boat) ....................................$125 Boat Entry for 4 Anglers ......................................................................................$500 Richard De Leon 34.6 Pounds 1st Place - 2014 Junior/Pee Wee Anglers Entry Fee ..............................................................Free (must a paid angler to be eligible for cash prizes) Bucket of Bucks Tournament (Pays 50/30/20) .........................................$100 Add’l Entry Fee Per Boat Boat Name: _________________________________________ Boat Length: _______________________________ Make of Boat: _______________________________________ Make of Motor: _____________________________ Bucket of Bucks Tournament $100 (Circle One) YES NO 1st Angler: __________________________________________ Email: _____________________________________ Address: ___________________________________________City: ________________ State: ____ Zip:_________ Phone: __________________________________ Jr. / Pee Wee Angler □ Yes □ No // Lady Angler □ Yes □ No Signature: __________________________________________ Date: ______________________________________ 2nd Angler: __________________________________________ Email: _____________________________________ Address: ___________________________________________City: ________________ State: ____ Zip:_________ Phone: __________________________________ Jr. / Pee Wee Angler □ Yes □ No // Lady Angler □ Yes □ No Signature: __________________________________________ Date: ______________________________________ 3rd Angler: __________________________________________ Email: _____________________________________ Address: ___________________________________________City: ________________ State: ____ Zip:_________ Phone: __________________________________ Jr. / Pee Wee Angler □ Yes □ No // Lady Angler □ Yes □ No Signature: __________________________________________ Date: ______________________________________ 4th Angler: __________________________________________ Email: _____________________________________ Address: ___________________________________________City: ________________ State: ____ Zip:_________ Phone: __________________________________ Jr. / Pee Wee Angler □ Yes □ No // Lady Angler □ Yes □ No Signature: __________________________________________ Date: ______________________________________ Total Amt. Due: ________________________________ Total Amount Enclosed: _____________________________ Payment (Circle One): Cash Check Credit Card ( MC / Visa) Name on Card: __________________________________ Card #: _________________________ Exp Date: ___/___ Minimum two anglers per boat. Boat entry allows four anglers to fish. Additional anglers pay an individual fee. Free entry for Junior/Pee Wee anglers is limited to four per boat. 15% of Bucket of Bucks entry fee goes to Kiwanis charities. All fees include 7.0% Florida Sales Tax. Deadline for entries is June 11, 2015 at 8 pm at the Kick-Off Party. By submitting an entry form, you certify that you have read and agree to the rules and regulations of this tournament, http://www.homesteadkiwanis.org/dolphin/rules.htm. MAIL TO: Kiwanis Dolphin Tournament, PO BOX 1754 Homestead, FL 33090. FAX TO: 305-598-2512. EMAIL TO: [email protected]. For more information, call Judy Layne at 305-667-0399. FLDACS Reg #CH34337 www.dolphindays.org
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