Please enable JavaScript in your browser to complete this form.Team NameAngler # 1 - Designated Team Contact Angler 1 PhoneAngler 1 Email *Angler 2Angler 2 PhoneAngler 2 EmailAngler 3Angler 3 PhoneAngler 3 EmailAngler 4Angler 4 PhoneAngler 4 EmailAngler 5Angler 5 PhoneAngler 5 EmailAngler 6Angler 6 PhoneAngler 6 Email HTML text bold Boat Information Boat NameCaptain's NameMakeEngine MakeLength HTML text bold All registered anglers enter and participate in this Presidential Challenge of Central America (PCCA) voluntarily and at their own risk. In consideration for the PCCA’s acceptance of his or her entry, each registered angler, for his or her heirs, executors, and administrators, agrees to release, hold harmless and indemnify the PCCA and PRESIDENTIAL CHALLENGE CHARITABLE FOUNDATION, INC, the officers, managers, directors, agents sponsors, donors and all other persons connected directly or indirectly with the operation of the tournament, from and against any and all liabilities, claims, actions, damages, costs, fees or expenses which he or she may have against any above-described party arising out of or in any way connected with his or her participation in this PCCA, including any injury or death suffered by any registered angler. Photographs taken during this event may be used for publication including use on the tournament web page. Each registered angler understands and agrees that this release specifically includes and waives any claims based on libel, slander, negligence, action or inaction of any above-named party. Bank Transfer Information Bank Name: NORTHERN TRUST N.A., MIAMI, FLORIDA ABA- 066009650 SWIFT: CNORUS3M ACCOUNT NAME: PRESIDENTIAL CHALLENGE CHARITABLE FOUNDATION, INC. ACCOUNT NUMBER: 2840236762 Mail Check to: 205 EAST ENID DRIVE, KEY BISCAYNE, FLORIDA 3149I will pay by wire transfer or check for the following (check all that apply)Sailfish Category Basic Entry $250.00Optional Daily Jackpot - $200 x 3 days $600Marlin Category Basic Entry $250.00Optional Daily Jackpot - $200 x 3 days $600Billfish Category Basic Entry $250Optional Daily Jackpot $200 x 3 Days $600Enter me in everything above for a discounted entry = $2400.00I'll pay now by credit card below HTML text bold Entry Fee Information You may enter one or both divisions To pay with Credit Card select items below and hit submit you may enter as many as you likeSailfish Category Basic Entry- 250.00Optional Sailfish Daily Jackpot - $200.00 x 3 days $600.00Marlin Category - $250.00 Basic EntryOptional Marlin Daily Jackpot - $200.00 x 3 days $600.00Billfish Category - $250.00 Basic EntryOptional Billfish Daily Jackpot - $200.00 x 3 days $600Enter me in everything above for a discounted entry = $2400.00Total$ 0.00PhoneSubmit