Enroll in the Student Angler Program

School Name *

Address 1 *

Address 2

City/Town *

State *

Zip-Code *

Coach/Captain

Name *

Phone Number *

Email Address *

Team Information

Tournament Trail Information Check all that apply

Social Media Handles Enter all that apply

Facebook

Instagram

Twitter

What species does your team fish? Check all that apply

Team Roster

Advisor/Athletic Director *

Coach *

Coach

Team Captain *

Team Members

The fishing club named above, to the best of my knowledge, satisfies Pure Fishing’s eligibility for a sanctioned fishing club; and therefore, I, the coach/team captain hereby submit this application for registration into the Berkley® & Abu Garcia® Student Angler Program.

I, the coach/team captian, agree to to distribute, collect, and submit permission forms that include a copyright license and a right of publicity waiver via mail or pdf email. Download Form

Electronically Signed by on by the president, faculty advisor or school administrator of our fishing club.