Tidelines Winter 2018

MSSA Annual Spring Tournament – PRO DIVISION 34 th Championship on the Chesapeake May 5-7, 2017 8461C Fort Smallwood Rd - Pasadena, MD 21122 • Email: fish@mssa.net - Website: www.mssa.net - Telephone: 410-255-5535

CAPTAIN (PLEASE PRINT CLEARLY) Name: Address: City/State/Zip: Home Ph:_____________Cell Ph: ____________ Email: Boat Name: ________________________________ Boat Length: _______________________________ Shirt Size: M L XL XXL XXXL

MARK DAYS YOU WILL BE FISHING FRIDAY ___ SATURDAY ___ SUNDAY ___ ENTRY FEE Daily tournaments (1 st – 3 rd places – 60/20/10)

One Day: ……………………………..$125 Two Days: ……………………………$225 Three Days: …………………………..$325 ENTRY FEE TOTAL $

TOURNAMENTS 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. Single Fish TWT’s (Daily – 1 st -3 rd – 60/20/10)

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

$50_____ $75_____ $100_____ ………………………………….

TWT TOTAL

F __ S __ Sun __

F __ S __ Sun __

F __ S __ Sun __

$

* Captain Individual

New

Renew

1 Year $25 1 Year $30

3 Year $65 3 Year $70

MAIL CAPTAIN’S PACKET – OPTIONAL If unable to attend any Captains’ Meeting (try to make it!)

Family

Chapter (select one): Alt. Captain

New

Renew

MAIL PACKET ( $20)

$

Individual

1 Year $25 1 Year $30

3 Year $65 3 Year $70

Family

Chapter (select one):

AWARDS PARTY May 17, 2018 – 7 PM to 10 PM All You Can Eat & Drink, Door Prizes, Music & More! $20/person in advance! Space Limited (Indicate # Attending) CAPTAIN (FREE) Yes___ No___ # of Crew & Guests X $20

Membership TOTAL

$

$

CAPTAIN SIGNATURE (REQUIRED) X I have read & will abide by the official Rules & Regulations of the tournament & agree to them without exception. It is understood that the Division selected by the captain (applicant) on this form will be abided by automatically in processing this entry into the tournament. Professional & charter captains fishing in the Amateur Division will be disqualified without immunity. The accuracy of the data entered on this application is understood to be the responsibility of the captain.

PAYMENT METHOD Cash Check # Credit: ______ GRAND TOTAL

$

MSSA Office Use ONLY

Date Received:

Amount Received:

By:

__ BOAT #_____________