Registration Step One

CREDIT/DEBIT

All teams must submit this registration form to compete in the Rumble in the Jungle King Mackerel Tournament. Official numbers are available for pick up on Thursday at the Captain's Meeting. If you are unable to attend, it is your responsibility to display your number visibly. Registration includes a secure, online credit card payment system. There is a 5% processing fee for credit/debit card payments.

Online Registration - $400
Through October 15 at 9 PM

* Required field.

Team/Boat Information

Team Name: *

Boat Make: *

Registration / USCG Doc. Number: *

Boat Length: (feet) *

Engine Make: *

Number of Engines: *

Total Combined HP: *

Captain Information

First Name: *

M.I.:

Last Name: *

Suffix:

Address: *

City: *

State: *

ZIP Code: *

Email: *

Phone: *

Tournament Information

Meal Tickets are required at the Captain's Dinner this year.

Team Members Attending Captain's Dinner: *

SKA Member:

Kingfish Cup Participant:

Kingfish Cup Number:

In the event you win, what name does the check need to be made payable to? (A completed W-9 form is required before any winning proceeds will be disbursed.)

Pay Winnings To: *

Participant Agreement

I understand that as team captain I am responsible for the safety of my crew and boat at all times. I have read and fully understand the rules of the Rumble in the Jungle King Mackerel Tournament and hereby release the tournament administrators and venue, their principals, subsidiaries, and affiliates of any liability. I further understand that the decision to fish and participate in the tournament is mine. My initials below constitute my signature and consent to this release. (ENTER INITIALS BELOW).

Initials: *