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$550 – EARLY ENTRY FEE
(Thru June 1, 2019)

$600 – GENERAL ENTRY FEE

2019 Registration

First Name / Last Name

Your Email

Street Address

City, State, Zip

Cell Phone 000-000-0000

Home Phone 000-000-0000

Boat Name

Registration Number, State

Boat Manufacturer

Length, Hull Color

Engine Manufacturer

Number of Engines, Horsepower Each

Payment Confirmation Number

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2019 Print REGISTRATION

If you are paying with a check, please use this form. Click on image below to download a PDF registration form to print.
Fill out the form, attach your check and return via mail to:

Northeast Florida Kingfish Shootout
450-106 State Road 13 N. #143
St. Johns, Fl 32259

Please download and print the two (2) page waiver form below. Fill out the form, sign, staple and bring with you to the Captains meeting. This form is required before your number is issued. Thanks in advance for helping us speed-up the registration line.

Paul and Lauren Dozier