Name   

Phone        Phone # During Tourney 

Address   

City            State Zip

E-mail      

EACH JUDGE MUST FILL OUT A SEPARATE FORM

Roving Judges' Meeting:  Wednesday, November 7, 2012 at 2:30 p.m.

Judges' Meeting:  Wednesday, November 7, 2012 at 3:00 p.m.

Tournament Date:  Thursday, November 8 and Friday, November 9, 2011

PLEASE CIRCLE YOUR T-SHIRT SIZE ( S,  M,  L,  XL,  XXL,  XXXL )

PLEASE CHECK ANY APPROPRIATE BOXES:

    I WILL be able to be a judge for the 2012 tournament.

    I WILL NOT be able to be a judge for the 2012 tournament.

    I WOULD be interested in judging in future tournaments.

    I have previously been a judge.

    I have a four-wheel drive vehicle.

    I have a cellular phone.

    I have a CB radio.

My preferred location for judging is

     1st Choice   2ndt Choice

I would like my partner to be   

(This person should also complete a judge information sheet.)

Are you a member of the Cape Hatteras Anglers Club?    YES    NO

Are you interested in receiving information regarding joining the club?   YES    NO