Any information you need about becoming a member of the Southern Catfishermen Association, or Tournament Information please feel free to contact us. Print this application and send it with your check made payable to Southern Catfishermen Association. 

SOUTHERN CATFISHERMEN ASSOCIATION

MEMBERSHIP APPLICATION

NAME (Primary Member): ________________________________

ADDRESS: ____________________________________________

CITY/STATE/ZIP: ______________________________________

Phone #: ____________________

E-MAIL : ____________________

TYPE OF MEMBERSHIP (CHECK ONE): SINGLE ($20) � FAMILY ($30) �

SHIRT SIZE  ___________      _____________

LIST NAMES & DATES OF BIRTH OF EACH MEMBER (Family Only)

SPOUSE: _____________________________________

CHILD #1: ____________________________________

CHILD #2: ____________________________________

WAIVER: In consideration of your acceptance of my application, I for myself, my heirs, my executors and my administrators, hereby release and hold harmless and forever discharge the Southern Catfishermen Association, its servants, agents, representatives, successors, assignees, hosts, sponsors, event officials and other event participants from any and all claims for personal injury, death, dismemberment or property damage which I may experience during the course of the events. I also agree to abide by the event rules and applicable state laws.

Signature: ________________________________________________

Date: ___________________________________

Remit to: Southern Catfishermen Association

2455 Union Hill Rd. Union Grove, Al. 35175