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GAPPS/GISA State Bass Fishing
Cost $50 per Boat
Blast off will be random
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Angler #1 Name:
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Your answer
Angler #1 School or Club:
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Your answer
Angler #1 Home Address
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Your answer
Angler #1 Gender
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Male
Female
Angler #1 Grade Level
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Your answer
Angler #1 Date of Birth
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MM
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DD
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YYYY
Angler #1 Age
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Your answer
Angler #1 Email:
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Your answer
Angler #1 Phone Number
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Your answer
Angler #1 SAF Number:
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Your answer
Angler #2 Name:
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Your answer
Angler #2 School or Club:
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Your answer
Angler #2 Home Address
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Your answer
Angler #2 Email:
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Your answer
Angler #2 Phone Number
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Your answer
Angler #2 Gender
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Male
Female
Angler #2 Grade Level
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Your answer
Angler #1 Date of Birth
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MM
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DD
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YYYY
Angler #2 Age
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Your answer
Angler #2 SAF Number:
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Your answer
Boat Captain's Name:
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Your answer
Boat Captain's Gender
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Male
Female
Boat Captains Date of Birth
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MM
/
DD
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YYYY
Boat Captain's Age
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Your answer
Boat Captains Email
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Your answer
Boat Captains Home Address
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Your answer
Boat Captains Email Address
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Your answer
Boat Captains Phone Number
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Your answer
Coach's Name & Email Address:
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Your answer
Payment Options:
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Credit Card; Call 678-679-7123
Check; mail to 101 Devant St. Suite 203, Fayetteville, GA 30214
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