Proud Anglers

Species

Kept/Released

Certified Weight

Certified Length (in)

Date Caught

Location Caught

Catch Map Location

Released Fish Witness (Optional)

Angler First Name

Angler Last Name

Phone # (Optional)

E-Mail (Optional)

Address

City

State

Zip Code

Comments (Optional)

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If your application is accepted, you will receive a certificate in 4-6 weeks.