Kinzua Cup Registration Form

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Willow Creek Sportsman’s Club 6th Annual Kinzua Cup

We encourage you to join our club and promote the Kinzua waters and surrounding areas. If you are a member, please consider renewing your membership this year.

Item Description		Price
	Kinzua Cup Entry Fee	$300.00

Captain
Full Name: Address: Phone: Email Address PA Fishing License Number: Member ID:

Co Captain
Full Name: Address: Phone: Email Address: PA Fishing License Number: Member ID:

Release of Liability
Captain: By signing, I agree this is a "fish at your own risk" tournament. The Willow Creek Sportsman's Club is not responsible for any damage, theft, or personal injury. Date: Co Captain: By signing, I agree this is a "fish at your own risk" tournament. The Willow Creek Sportsman's Club is not responsible for any damage, theft, or personal injury. Date:

Membership Application, Tournament Registration, and payment can be mailed to Willow Creek Sportsman’s Club at:

Willow Creek Sportsman’s Club

P.O. Box 1064 Bradford, PA 16701

If paying with check, please make a check out to:

Willow Creek Sportsman’s Club

Our mission is to educate and actively engage our community, particularly the next generation, in the promotion and enhancement of the Allegheny National Forest, the Kinzua Reservoir, and its tributaries. We achieve this through sound management practices focused on education, restoration, and conservation of the area's natural resources