WBA ANNUAL BIG FISH ENTRY FORM

Please print and complete this form, enclose a photo and mail to:

WBA President
Matt Harris
W1204 Concord Center Dr.
Sullivan, WI 53178

I, the undersigned, hereby swear that the following statements are true, that in taking the fish
I complied with all the rules.

Name of the applicant: _____________________________________________________________

Address: _______________________________________________________________________

City: ______________________ State: ________ Zip: ____________ Phone: _________________

Species of Fish: _________________________________ Weight: __________lbs ____________ ozs

Length _______________________ Girth ____________________Date of Kill ________________

Location of Harvest (specific body of water):_____________________________________________

Bow Mfg _____________________Fish Point Mfg. ____________ Reel Mfg. __________________

Signature of entrant:________________________________________________________________



I, the undersigned, witnessed the weighing and measuring of the fish described above, and verify each
given measurement.

Name__________________________________________________________________________

Address: ________________________________________________________________________

City: ______________________ State: ________ Zip: ____________ Phone: __________________

Signature:________________________________________________________________________