Tideline Summer 2017

7th Annual Mid Atlantic Flounder Tournament – September 16 & 17

8461C Fort Smallwood Rd - Pasadena, MD 21122 • Email: fish@mssa.net - Website: www.mssa.net - Telephone: 410-255-5535 - Fax: 410-255-1552 IMPORTANT: NEW Rule – You may fish anywhere in the Coastal Bays and Atlantic Ocean & Weigh In at any of the three weigh stations in the Mid-Atlantic

REGIONAL CAPTAINS’ MEETINGS : ALL Meetings to be held TBD *Ocean City, MD – Alltackle *Chincoteague, VA – Captain Steve’s Bait & Tackle * Indian River Inlet, DE – Hook’em & Cook’em Captain of the Year Bonus Points Eligibility? Are you fishing your own boat during the tournament? YES NO

CAPTAIN (PLEASE PRINT CLEARLY) Name: Address:

City/State/Zip: Home Phone:

___Cell Phone:

Boat Name: ________ Boat Length: ___________________ eMail: (CELL PHONE & EMAIL NEEDED FOR UPDATES DURING TOURNAMENT) ALTERNATE CAPTAIN (Optional) Name: Cell Number: MEMBERSHIP CHAPTER OPTIONS: Annapolis Atlantic Coast Broadneck/Magothy Carroll County DC Metro Dorchester County Essex-Middle River Frederick County Kent Island Northern Bay Northwest Perry Hall Southern MD Susquehanna

ENTRY FEE

ENTRY FEE TOTAL

Before September : $150 per boat In September : $200 per boat

$

TOURNAMENT WITHIN TOURNAMENT (TWT) Each TWT is a separate & OPTIONAL selection NOT included in the Main Tournament Entry Fee. You may enter any combination of the TWTs. Please see official tournament Rules & Regulations for more information. Flounder - Single Heaviest TWT ____ $150 Single Heaviest Flounder (1 st and 2 nd Places, Split 70/30) Flounder – 3 Heaviest Flounder TWT TWT TOTAL ____ $200 3 Heaviest Flounder (1 st and 2 nd Places, Split 70/30) MISCELANEOUS FISH TWT Single heaviest fish other than a flounder (no rays/skates) $100 Single Heaviest Misc. Fish TWT *One Winner MISC. TWT TOTAL MAIL CAPTAIN’S PACKET OPTIONAL – if unable to attend any Captains’ Meeting or Pick up Must have Captain number to participate in tournament ____ $20 Mail Packet MAIL TOTAL $ $

* Captain Individual

New

Renew

1 Year $25 1 Year $30

3 Year $65 3 Year $70

Family

Chapter (select one): Alt. Captain

New

Renew

Individual

1 Year $25 1 Year $30

3 Year $65 3 Year $70

Family

Chapter (select one): Membership TOTAL CAPTAIN SIGNATURE (REQUIRED) X $

$

Make it Easy

GRAND TOTAL

I have read & will abide by the official Rules & Regulations of the tournament & agree to them without exception. The accuracy of the data entered on this application is understood to be the responsibility of the captain. It is the responsibility of the registered captain (applicant) to verify the MSSA membership status of self and the Alternate Captain (if listed on application) for eligibility of All MSSA Crew Bonus and discounted entry (if applicable).

All-In Total Before Sept. - $600 All-In Total In Sept. - $650

$

Cash ______Check #________ Credit________

MSSA Office Use ONLY

Date Received:

Amount Received:

By:

__ BOAT #_____________