Electronic Release Form
Membership Number Expiration Date Name Address CityStateZip Lake/River County State/Prov Lure Name Lure Type Bucktail Crank Jerk Jig Spinner Spoon Surface Primary Color Secondary Color Muskie Length Muskie Girth Date Caught Depth Of Muskie When Caught Depth Of Water Hours Fishing Since Last Legal Muskie Hours Since Last Muskie Time Caught 1 2 3 4 5 6 7 8 9 10 11 12 Round Up/Down 00 15 30 45 AM/PM AM PM Sky Conditions Not Stated Clear Cloudy Misty Overcast Raining Snowing Presentation Not Stated Casting Drifting Bait Jigging Still Trolling - Motor Trolling - Row Bottom Not Stated Boulders Clay Gravel Muck Rocks Sand Structure Not Stated Cabbage Coontail Docks Grass Junk Weeds Logs Milfoil Stumps Suspended Reeds/Bullrushies Wind Speed Not Stated Calm Variable Moderate 5-10 Slight 10-20 Strong 20+ Wind Direction Not Stated North Northeast Northwest East West South Southeast Southwest Division Mens Mens Master Womans Womans Master Junior Junior Members AgeJunior's Birth Date Muskie Was Released Kept Check The Box If You Want A Release Patch Individual Certificate Yearly Certificate Check Here if you want your name withheld from Muskies, Inc. Publications, the MI Website and consideration for all MI Awards I swear and affirm that I have complied with all the rules on this form, and that all the information to the best of my knowledge is true, accurate and complete. I consent to the use of and/or all information in Muskies, Inc. research studies or publications, including the internet website. (Typing your name is the same as signing your signature) Name Date Email Address Witness Name Witness Phone Number Anything Unusual About This Muskie, Where You Caught It?