Get your entry form in by June 1st for the Early Entry discount!

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