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2010 Dockside Striper Tournament Application
On-Line Registration Deadline is Midnight on June 23. Time Left to Register:
Solution Graphics This form should only be completed if you intend to pay your application fees on-line using PayPal. PayPal offers the option to use your PayPal account or just use a Credit Card to make your payment for this event. If you plan to mail a check for tournament fees, please retrieve the print version of the application form.

If you have previously submitted this form but did not yet pay your registration fee, you do not need to complete this form again. You may go immediately to the pay now page.

Step 1: Please complete all required (*) fields.
READ THIS: A separate entry form must be completed for each participant or team of 4. As a convenience, it can also be used for registering additional people for whom you are paying their registration or party guest fees. Be sure to include contact information (emails and phone) for all people you are including on the form. By submitting this form with your payment, you acknowledge that you have read and accept the Tournament Rules & Waiver. Please print the form before submitting it so that you have a record of your application. Your payment amount should match the choices you make below. Thank you.

*=Required Fields
Acknowledgment of Tournament Rules & Waiver
You will be asked to sign this waiver at event check-in.

In lieu of Signature, I accept this waiver.   I do not accept this waiver.
Name of
Participant*

Fishing Category
of Person Named Above*

Adult (Full Fee - $125)
Team of 4 Adults (Full Fee - $400)
Youth Category (14 & Under - $25)
 If Under 18, Enter Age:
 and Complete Parent/Guardian Info at Bottom of Page.
Complete Mailing Address*
Telephone Number*
E-mail Address*
Renter Your E-mail*
Teams of 4: If you are teaming up to fish with others in a team of 4 and plan to pay for them with your application, please provide their name, phone number, and email address in the box below. Please list AGES of any team members who are 15-17 years of age and provide parent/guardian information at the bottom of this form.

Total # of Adult Tournament Participants You will be Paying for:
Party Guests: If you would like to bring family or friends to the Captain's Party, please list their names below:

Total # of Captain Party Guest Tickets Wanted at $35 each:

Youth Registering with You: Please list NAMES and AGES of all the participants you wish to register (anyone 14 and under). You can only register Youth for whom you are legally responsible. Also complete parent/guardian info at bottom of page.

Total # of Youths (5-14 Yrs) Registered at $25 each:
For All Participants Listed Above Who are Under the Age of 18:
Name of Parent or Guardian:
Mailing Address
(if different):
Telephone Number (if different):
Additional Comments/Notes:
After clicking the Submit Data button below, you will be directed to a payment page. On-line payments will be accepted through PayPal. If you do not currently have an account with PayPal, you will be given an opportunity to open one or you can complete your transaction using a credit card without opening an account. Make sure you select the number of items to pay that match the number you have registered on this form. If you do not want to continue processing your tournament payment on-line, you may print a hard copy entry form and submit it via mail or in person at YHMS.




Mail: c/o York Harbor Marine Service • 20 Harris Island Road • York, Maine 03909 • Toll Free: 1-866-380-3602
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