Boat Captain Registration Form

* Indicates required field

Boat Captain's Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

I acknowledge that the Brainerd Warrior Fishing Team is not responsible for any injuries that may occur and hereby assume any risks involved with participating in this activity. *

Yes

I grant the Brainerd Warrior Fishing Team the right to take photographs of me and my property. I agree that they may use such photographs, with or without my name, for any lawful purpose including publicity, advertising, and Webcontent. *

Yes

Email *

Phone Number *

Boat Make/Model *

Motor *

Insurance Provider *

Comment *

Submit