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TOURNAMENT
REGISTRATION FORM
(Click
here to download pdf of Registration Form)
| Date: |  |
| Captain’s Name: | |
| Address: | |
| City, State, Zip | |
| Daytime Ph: | |
| Evening Ph: | |
| Boat Information: | |
| Boat’s Name: | |
| Boat Make: | |
| Boat Length: | |
| Beam: | |
| Slip Length: | |
| I have a slip at Waukegan Harbor and my slip number is: | |
Heros of Freedom Fishing Competition Information
 |
Yes, I am interested in participating in the Heroes Of Freedom Fishing Derby by captaining my boat on Sunday, June 29th 2008. (A member of the Tournament Committee will contact you) |
|
Unfortunately, I am unable to help with the Heroes of Freedom Fishing Competition on June, 29th |
Payment Information
Entry Fee per Boat is $575.00 Pro / $300.00 Am. Please remit payment with registration
form to Waukegan Port Authority office by May, 15th 2008.
Check# __________
Please make check payable to:
PFC Geoffrey Morris Memorial Foundation.
Send registration
with payment to:
Waukegan Port Authority,
c/o PFC Geoffrey Morris Governors
Cup Tournament,
55 S. Harbor Place, Waukegan, IL 60079
Applicant Signature:
501(c)(3) Non-Profit Corporation EIN 76-0781583
TOURNAMENT COMMITTEE
Kirk
S. Morris
Chairman
LtCol
Fritz Mielke –
U. S. Marine Corps
Bill
Kohn
Waukegan Port Authority
Chris
Disher –
Booz Allen Hamilton, Inc.
Kevin “KevHead” Matthews
Eleanor
Flavin
Publicity & Marketing
HONORARY
BOARD of DIRECTORS
Lt. Governor - Pat Quinn
Governor
- Rod Blagojevich
Richard H. Hyde – Mayor
City of Waukegan
Cathy Ryg – State Representative
Terry Link – State Senator
ADVISORS TO THE BOARD
Eric Schuler –
Sr. Policy Advisor,
Lt. Governors Office
US Coast Guard Auxiliary
Capt. Dan Keating
“The Salmon Professor”; Blue Horizon Sport Fishing
David Motley –
Waukegan Public Information