Please print, fill out and fax (or drop off) your registration to Big Time Bait and Tackle - (305) 289-0118

Marathon Dolphin Scramble

Boat Name_________________________________________ Team Number _{(official use)} ________Captain’s Name______________________________________________ T-shirt size________

Address______________________________________________________________________________

Phone _____________________________________ Email_____________________________________

Two angler’s minimum:

1^st Angler’s Name__________________________________________________ T-shirt size___________   Phone _____________________________________ Email_____________________________________

2^nd Angler’s Name_________________________________________________ T-shirt size___________ Phone _____________________________________ Email_____________________________________

3^rd Angler’s Name _________________________________________________ T-shirt size___________ Phone _____________________________________ Email_____________________________________

4^th Angler’s Name _________________________________________________ T-shirt size___________ Phone _____________________________________ Email _____________________________________

5^th Angler’s Name _________________________________________________ T-shirt size___________ Phone_____________________________________ Email _____________________________________

6^th Angler’s Name _________________________________________________ T-shirt size___________ Phone_____________________________________ Email _____________________________________

Junior Anglers under 16 ($45 each before July 9^th 2010) ____________________ / __________________ ____________________________ / ___________________________ / ___________________________ 1^st, 2^nd, and 3^rd Place Junior winners will be awarded Shimano rod and reel combos

Registration fee _{on or before} July 5^th 2010 ($100 each angler) _after July 5^th ($100 each) Grand Total___________ 1^st legal dolphin brought back to committee boat $1000 / Largest dolphin overall $1000/$500/$300

PAYMENT OPTIONS:

Visa/MC #___________________________________________ Exp.__________ 3 digit code _{(on back)} ____

Billing address __________________________________________ Check number _______Cash _______