1
New Jersey Skillful Angler Application - Freshwater
Applicant Information
Full Name:
_
__________________________________
_
________________
_
___ Age:
Last First M.I.
A
ddress:
_
_________________________________________________________________
_
__________
Street Address
A
partment/Unit
#
_
_________________________________________________
_____
_
_______
Cit
y
State ZIP Code
Phone: E-mail
Entry Division (please check one)
A
dult (16 years and above, officially weighed)
Junior (under 16)
Catch and Release (based on length)
Fish Species (Angler must complete)
Subject to verification by a state biologist.
Species
Weight (lb.oz)
Length
Girth
Date Caught
Time
Waterbody
Caught From: Boat
Shore
Other (specify)
Line Test Used Reel Type Rod Type
Bait/Lure
Enter a Category
First Fish (celebrate your first fish ever!)
Single Species
Specialist Angler (5 qualifying fish of the same species)
1
st
2
nd
3
rd
4
th
5
th
Master Angler (5 qualifying fish of different species)
1
st
2
nd
3
rd
4
th
5
th
Elite Angler (10 or more qualifying fish within 1 year)
1
st
2
nd
3
rd
4
th
5
th
6
th
7
th
8
th
9
th
10
th
2
Enter a Slam Category
Trout Slam (1 each of a qualifying Rainbow Trout, Brook Trout or Brown Trout)
Rainbow Trout
Brook Trout
Brown Trout
Bass Slam (1 each of a qualifying Largemouth Bass and Smallmouth Bass)
Largemouth Bass
Smallmouth Bass
Panfish Slam (1 each of a qualifying sunfish spp., Crappie spp. and Yellow Perch)
Sunfish spp.
Crappie spp.
Yellow Perch
Certification for Adult and Junior Divisions
Fish measured and weighed by: (establishment’s name and address)
Full Name:
A
ddress: Phone:
City/State/Zip
*Weighmast
er’s Name
Weighmaster’s Signature
I hereby certify that this fish
was caught in New Jersey waters in accordance with state laws and regulations and in the
case of Adult/Junior Divisions, that the entry was weighed on a certified scale.
A
pplicant Signature: Date:
*
Application/photo must be submitted within 30 days of catching the fish. Additional High-Resolution ph
otos
w
ith the angler are always welcome and appreciated! All photos become the property of NJDFW and may
be
used for promotional purposes.
Email co
mpleted form and photo(s) to:
NJSkillfulAngler@dep.nj.gov
OR mail to:
NJ Skillful Angler Program
One Eldridge Road
Robbinsville, NJ 08691
Print
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signature
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signature
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