Master Angler Program
entries for 2007 fish accepted until May 1, 2008

Please complete this form
Name: DOB: mm/dd/yyyy
License #: Not required for Youth
Address:
City:   State: Zip:
Phone:
Email:

Date of Catch: County Caught in:
Lake Name:
Fish Species:
Size: Lbs/Oz  -- or -- Inches

Witness
Address:
City:   State: Zip:
Phone:

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