MEMBER AFFIDAVIT FORM

The Muskellunge Club of Wisconsin firmly believes in and encourages the Muskellunge release program. However, there are two divisions, Released and Kept. To qualify for any award in the Release division, our club member must measure the fish, take a photo of the fish, and fill out this affidavit form in its entirety. To qualify for any award in the Kept division, our club member must measure the fish, weigh the fish, take a photo of the fish, and fill out this affidavit form in its entirety. The affidavit form must be postmarked by the 10th of the following month from the date of catch to qualify for an award. Digital photos are preferred and can be emailed to info@muskellungeclubwi.org. Printed photos can be mailed to the club address found on the club website.

I,
Fields marked with an * are required.
Name: *
Address:
hereby swear that the following statements are the truth, and that the witnesses hereto actually witnessed the weighing and/or measuring of the muskellunge caught by me.
Member Status:
Are you a Licensed Fishing Guide?:
Muksie Was: *
Muskie Type: *
Length: *
Girth:
Date Caught: MM-DD-YYYY *
Time Caught: *
Lake Name: *
Weather/Depth/Bottom/Shoreline:
Rod Make/Model:
Reel Make/Model:
Line Make/Lb Test:
Lure Name/Type: *
Did You Fish With a Guide?:
If Yes, Guide Name:
We, the undersigned, witnessed the weighing and/or measuring of the fish described on this affidavit form and we each verified the weight and/or measurements given.
Witnessed By: Name, Address, Phone *
If Kept, Weighted At: Name, Location
If Kept, Certified Scale: