Tournament Date: April 25, 2025
Team Captain Name
Street Address
City
State
Zip Code
Telephone Number
Email Address
Wangler #2 Name
Wangler #3 Name
Wangler #4 Name
Does Your Team Require a Charter Captain and Boat? YesNo
Total Wanglers —Please choose an option—OneTwoThreeFour
Total Attending Banquet 12345678910
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