1st Partner (Boat Captain)

Name (Please Print)__________________________________________________________

Signature __________________________________________________________________

Address__________________________________________City_____________________

State____________Zip____________________Phone Number_________________

2nd Partner

Name (Please Print)_________________________________________________________

Signature___________________________________________________________________

Address______________________________________City_________________________

State____________Zip_____________________Phone Number_________________

***Three starting positions will be allowed. Lake Minocqua - Basacki's; Lake Tomahawk - to be announced; Squirrel Lake - boat landing on north side of lake.

***Liabililty-By entering and signing this tournament application you agree to release Rollie & Helen and all other sponsors and their agencies from liability for death, injury, damage & liability, theft, fire or any loss incurred to you or your property during this event.

***Team numbers are given as entries are received.

***Make checks payable to Rollie & Helen's Musky Shop
***If you pay by credit card an extra 5% will be added.

Credit Card #_____________________________Exp. Date_______________

Signature:_______________________________________________________

***print and mail in to: Rollie & Helen's Musky Shop, 7542 Hwy 51 S, Minocqua, WI 54548