Kayak Event Registration Form - Elite Redfish Series

Tournament selection and entry options (check ALL that apply) *

Jacksonville May 25 (200.00) must be paid to secure spot in event.
Optional Big Red Side (100.00) can be paid at anytime prior to morning of the event.

NOTE: Electronic svc fee will be added to total when paid using credit or debit card. Payments are non-refundable non-transferable unless the event is cancelled or date is changed after entry fee is paid except in the case of an act of god, hurricane, tropical storms or other natural disaster. Spots in both the Brecknell Elite Kayak Tour Open are limited to a max of 20 two angler teams. Your spot will ONLY be secured when you pay your invoice that will follow submitting this registration. Look for a SQUARE UP Evoice from Headturners3, LLC., our corporate name. Big Red must be paid by 8:00 pm the night prior to the event. (usually a Friday)

Team captain's name *

First

Last

Main team sponsor

Please tell us your title sponsor for promotional purposes. Can be named or changed later.

Team captain's address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Team captain's social or Business Tax Id # *

No spaces or dashes. Please type your social security or tax id number here.

Team captain's email address *

Partner's name *

If you are fishing as a 1 person team please put "solo" in box. You can name him/her later or change anytime prior to the morning of the event.

Partner's email optional

If they would like to be added to our emailing list put their email address here.

Note to Tour:

Final step *

What is the fourth letter of the alphabet?

Here you get to prove you are a human and not a web bot

Phone