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 Home Phone
Registrant's Mobile Phone*
Registrant's Address, City, State, and Zip*
Shirt Size*: ---SMLXL2X3X
Kenny Alumni: YesNo
Years Fished Tournament (Select All That Apply):
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
Number of Junior Anglers Aboard:
Junior Angler Name:
Date of Birth:
I have read and agree to the Junior Angler Release.
Early Registration: $110
After June 1: $120
Junior Angler: $15 per person
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.