FORM FOR RECORDING FLORIDA GRAND SLAM CATCHES

A GRAND SLAM is defined as the catching or catching and releasing of the following species in a single day. Catches must be made according to International Game Fish Association (IGFA) angling rules, available from IGFA, 300 Gulf Stream Way, Dania Beach, Florida 33004 for $1 postage and handling charges.

I AM SUBMITTING THIS ENTRY FOR:

! Florida Panhandle Grand Slam            Spotted Seatrout, Red Drum, Cobia           £ (Check Box)

! Florida East Coast Grand Slam            Spotted Seatrout, Red Drum, Tarpon        £ (Check Box)

! Florida West Coast Grand Slam          Red Drum, Snook, Tarpon                           £ (Check Box)

! South Florida Grand Slam                    Bonefish, Permit, Tarpon                             £    (Check Box)

ANGLER: (Print your name as you wish it to appear on certificate):________________________________________

PERMANENT ADDRESS: (include country and postal code):____________________________________________

Age if 16 or under:_____________________________

SPECIES:

(1)_____________________________

(2)_____________________________

(3)_____________________________

DATE OF CATCH:_____________________________

WEIGHT: (Estimated)

(1)_____________________________

(2)_____________________________

(3)_____________________________

PLACE OF CATCH:_____________________________

METHOD OF CATCH: (Trolling, casting, fly fishing, etc.):_____________________________

FIGHTING TIMES:

(1)_____________________________

(2)_____________________________

(3)_____________________________

EQUIPMENT:

Rod: Make: _____________________________

Length:_________________________________

Reel: Make: _______________________ Size: ______________

Line or tippet: Make: ___________________________________

Size as stated on label: _________________________________

NAME OF LURE, FLY OR BAIT:

Catch #1:_____________________________

Catch #2:_____________________________

Catch #3:_____________________________

BOAT:

Name: _____"Peppermint Patty"_______________________

Make: ____Dorado __________ Length:_______23'_______

CAPTAIN:

Name: Captain James "Jim" Savaglio_________________

Address: 4810 Willow Ridge Terrace, Valrico, Florida 33596

WITNESSES TO CATCH: Please provide name and mailing

addresses.

(1) __________________________________________________

_____________________________________________________

_____________________________________________________

(2) __________________________________________________

_____________________________________________________

_____________________________________________________

All Grand Slam Catches, past and present, are eligible as long as they can be documented and have been caught in a single day and in accordance with IGFA rules. Anglers will not have to kill their fish to be eligible, fish may be released alive. Photographs are not mandatory but are highly desirable when available and may be published.

AFFIDAVIT

I, the undersigned, hereby take oath and attest that the fish described in this application were hooked, fought, and brought to gaff by me without assistance from anyone, except as specifically provided in the regulations; and that they were caught in accordance with IGFA angling rules. I further declare that all the information in this application is true and correct to the best of my knowledge. I understand that IGFA reserves the right to employ verification procedures. I agree to be bound by any ruling of the IGFA relative to this application.

Signature of angler: _____________________________________________________________________________

Sworn before me this _______________ day of _______________________________ 19 _____

Notary signature and seal:_____________________________

When completely filled out and signed, mail this application with photos to:

INTERNATIONAL GAME FISH ASSOCIATION, 300 Gulf Stream Way, Dania Beach, Florida 33004 USA

Phone: (954) 927-2628 Fax: (954) 924-4299

(This application was reproduced and taken from inshoreslam.com)