Tournament Registration

Please complete the following information to register for this year's tournament. Fields marked with asterisk (*) are required. Upon successful submission of your information, you will be directed to PayPal to submit payment. If you prefer to register by mail, please download and print the Tournament Registration PDF Form.

Registrant's Information

Registrant's Name*

Registrant's Email*

Registrant's Home Phone

Registrant's Mobile Phone*

Registrant's Address, City, State, and Zip*

Shirt Size*:

Kenny Alumni: YesNo

Graduation Year:

Years Fished Tournament (Select All That Apply):

Captain's Information
(if applicable)

Captain's Name

Captain's Email

Captain's Home Phone

Captain's Mobile Phone

Captain's Address, City, State, and Zip

Captain's Boat Name

Captain's Boat Registration Number

Make of Captain's Boat

Non-Motorized Craft

Number of Junior Anglers Aboard:

Junior Angler Information

Junior Angler Name:
Date of Birth:
Parent/Guardian Name:
Parent/Guardian Phone:
I have read and agree to the Junior Angler Release.

Junior Angler Name:
Date of Birth:
Parent/Guardian Name:
Parent/Guardian Phone:
I have read and agree to the Junior Angler Release.

Junior Angler Name:
Date of Birth:
Parent/Guardian Name:
Parent/Guardian Phone:
I have read and agree to the Junior Angler Release.

Junior Angler Name:
Date of Birth:
Parent/Guardian Name:
Parent/Guardian Phone:
I have read and agree to the Junior Angler Release.

Junior Angler Name:
Date of Birth:
Parent/Guardian Name:
Parent/Guardian Phone:
I have read and agree to the Junior Angler Release.

Junior Angler Name:
Date of Birth:
Parent/Guardian Name:
Parent/Guardian Phone:
I have read and agree to the Junior Angler Release.

Registration Fee

Early Registration: $110
After June 1: $120
Junior Angler: $15 per person

Total Fee:    please pay this amount via PayPal on the next screen

Participants enter the tournament at their own risk. The Tournament Committee, its officials or members shall not be liable for and hereby disclaim any liability for any and all losses, damages or injuries of any kind suffered by any participants, entrants, anglers, their guests and companions, boat captains, vessels and equipment which may occur during the tournament, including the weigh-in location at Beach Marine. All captains and crewmembers are responsible for reading, following, and abiding by all rules and regulations as contained herein and as may be promulgated by the Tournament’s Rules Committee and by signing the entry form agree to abide by the rules and terms thereof.

I have read and understand the tournament rules, and I agree to abide by them.

Thank you for supporting The Clay Roberts Memorial Scholarship Fund.