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Vermont Master Angler Program - Application Form
Fill out the form completely to enter your Vermont Master Angler Program catch. Be sure you've read the rules and that your catch meets the minimum qualifying length. Entries for 2012 will be accepted until January 15, 2012. You must include one image of the fish. See rules for details on photo requirements.

Items marked with * are required.
Angler Information
Conservation ID (Clicking the search icon attempts to autofill angler information based on Conservation ID)
Category
Name First: *    Last: *
Date of Birth *  
License Number *
Address *

City *
State *
Zip Code *
Country
Contact Information Phone#: * xxx-xxx-xxxx      Email Address: *
Parents Name (if youth)
Fish Information
Fish Species *
Catch Date/Time Date: *   Time: *
 
Water Body
*(To use a waterbody not on the list, simply type it into the box)
Town *
County *
Fish Size Length (Inches): *     

  Girth (Inches ):
Fish Weight Lbs:

Ounces:
Disposal
Bait or Lure

Angler must submit a photograph of the fish that shows a clear side view of the entire fish, including the tail. Photos that are clearly intended to exaggerate the size of the fish will not be accepted. If the angler is holding the fish, the angler’s arms should not be extended, and some of the angler’s fingers should be visible. Another alternative is to photograph the fish lying on its side next to a measuring tape or ruler.
Photo
Select Fish Photo*: (No larger than 4 Megabytes)
Requesting a Certificate?
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