CLUB RECORD AUTHORIZATION SHEET

FISH NOT ABLE TO BE WEIGHED AT REGULAR LOCATIONS

ANGLER___________________________________________

NAME OF BOAT___ _________________________________

WHERE FISH LANDED______________________________

CAPTAINS SIGNATURE______________________________

(If Possible)

Species______________________

Length______________________

Weight______________________

ANGLERS SIGNATURE________________________________

Please attach any documentation you may have or Captain’s business card with fish weight and Captain’s signature for verification purposes.