Registration

Registration for the 2019 Longlac Walleye masters
July 26, 27 & 28

To download the 2019 Registration Form click here .

You can register your team at Moe's Clothing, 111 York Street in Longlac, online or download form and send by mail with cheque payable to "Longlac Walleye Masters" to LWM Box 877 Longlac, ON P0T 2A0.

Please fill out the following form to register for the 2019 Longlac Walleye Masters.

Once you submit the form you will be directed to a page where payment can be made.

If you do not see your name added to the registered list within a couple of days, please contact us at i nfo@longlacwalleyemasters.ca Thank you.

Registration will be capped at 100 paid and 5 unpaid teams. No new entries will be added until teams reduce to 99.

Please fill in all fields that are marked with a *

Registration fee For 2019 is $335

* Indicates required field

Captain's Name *

First

Last

Co-Angler's Name *

First

Last

Captain's Email *

Captain's Cell Number *

Captain's Address *

Line 1

Line 2

City

State

Zip Code

Country

Captain Check One *

Over 18 18 or Under

Co-Angler's Email *

Co-Angler's Cell Number *

Co-Angler's Address *

Line 1

Line 2

City

State

Zip Code

Country

Co-Angler Check One *

Over 18 18 or Under

Comment *

Waiver of Claim Release and Indemnification Agreement
In consideration of the acceptance of my entry in the Longlac Walleye Masters, its promoters, employees, sponsors, organizers, hosts, directors, officers, and all other organizers and affiliated organizations, agencies and/or agents and assignee's and any other person assisting in this event from any claims for damages or injuries suffered by me as a result of my participation in or traveling to or from this event. I hereby state that I am in proper physical condition, and carry proper insurance, to participate in this event and am aware that participation could in some circumstances, result in physical injury. I further agree to indemnify Longlac Walleye Masters, et. al. (mentioned above), from any claims or damages arising out of or in consequence of the participation or attendance by me in this event. If under the age of eighteen this waiver of claim, release and indemnification agreement must be signed by a Parent or Legal Guardian.

Entry and Acknowledgement:
Having read the rules and regulations, I hereby submit my entry form for registration and enclose my entry fee payable to ‘Longlac Chamber of Commerce’. By signing this form I agree with the rules and agree to abide by said rules, and allow my name and picture to be published on the World Wide Web and in any print publication the tournament wishes.

By checking the box below I certify that I have read and agree with the above statements. *

YES

I agree to receiving marketing and promotional materials

Submit

Once you submit the form you will be directed to a page where payment can be made.

Registration for the 2019 Longlac Walleye masters​July 26, 27 & 28

Registration fee For 2019 is $335

Registration for the 2019 Longlac Walleye masters
July 26, 27 & 28