Herman Lucerne Memorial Tournament Registration

TOURNAMENT REGISTRATION FORM

Herman Lucerne Memorial | September 20-22, 2024

$700.00 Adult (18+)

$300.00 Junior and Youth (17 and younger)

All registered anglers and their guides will receive free admission to the Awards and Kick Off dinners.

Entry Fees are determined by the angler's age on September 20, 2024.

Each member of your team must register.

* indicates required field

ANGLER INFORMATION

TEAM INFORMATION*

TEAM NAME*

TEAM MEMBER 1

TEAM MEMBER 2

DEPARTURE DAY 1*

Flamingo

Lorelei

DEPARTURE DAY 2*

Flamingo

Lorelei

GUIDE INFORMATION

CATEGORY*

Guided

Not Guided

IF YOU ARE BEING GUIDED PLEASE PROVIDE THE BELOW INFORMATION.

GUIDE NAME

GUIDE EMAIL ADDRESS

GUIDE PHONE NUMBER

GUIDE T-SHIRT SIZE

Small

Medium

Large

X-Large

SPONSORSHIP INFORMATION

All participants in the championship enter at their own risk. Officials, committee members and all persons connected directly or indirectly with the Herman Lucerne Memorial shall be exempt from any liability suffered to any participant, entrant, sport fisherman, their companions, captains, vessels and equipment which may occur during the championship. Participants may be photographed at the events and those photographs may be used in conjunction with promotion of the Herman Lucerne Memorial. Tournament registration is bound to the original named angler and may not be sold or otherwise transferred to another angler.

I understand and agree to the above paragraph. I agree to have read and to abide by the Herman Lucerne Memorial Official Rules.

I understand that no refunds will be granted unless the tournament is officially postponed or cancelled. The decision to postpone or cancel the Herman Lucerne Memorial will be the sole responsibility of the Board of Directors.