Registration Form | Hearst Walleye

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Angler #1 Information

Team "captain" primary contact for this registration

First Name

Last Name

Email

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Gender

Male

Female

Age in years as of December 31 of this year

Angler #2 Information

First name

Last name

Email

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Gender

Male

Female

Age in years as of December 31 of this year

**Select manual payement for e-transfer after you clicked "Go to Checkout"

Thanks for registering to our event. See you there!

Contact:

Crystel Vallée (705) 363-7024

For questions about registrations:

Suzie Longtin (705) 362-2661

hearstwalleyechallenge@gmail.com

© 2022 Hearst Walleye Challenge. Created by Mylène Coulombe-Gratton

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