Warriors On the Water™ Boater Registration Form
Date: Lake: Jordan Lake, NC Launch and Weigh In: New Hope Ramp Entry Fee: $0.00 Big Bass Entry Fee: $0.00 per boat This form is to provide information about boaters and non boaters fishing in the Fifth Annual WOW tournament. The event is planned to take soldiers fishing. We welcome any boater that can come to the event and take a soldier fishing.
Please provide the information below that concerns you.
Are you a Boater?: Select one Yes No Boater means you will bring your boat to the event and take soldiers fishing.
First Name Middle Initial Last Name
Street Address Address (cont.)
City , State/Province Zip/Postal Code
Contact Phone Cell Phone Number
E-mail
Describe Yourself as one of the following: Select one of the following Active Duty Reservist Retired Military Civilian
If active duty, what command and unit are you in?
If active duty, what is your rank:
If you are a Boater tell us the make and model of your boat:
If you are a Boater tell us the make, model and horsepower of your outboard motor
Do you maintain 100,000 liability insurance on your boat/motor? Select One Yes No
Fishing Equipment Information:
If you are a non-boater you do not need to send in this form - You will sign up through your unit commander.
If you are a boater, will you provide fishing equipment for your non-boater's? Select One Yes No
If you have any questions please call David Blanton at (910) 527-9949