BY SUBMITTING THIS FORM, YOU ATTEST YOU ARE A BROOKLAND CLUB MEMBER THAT COMPLETED THIS HARVEST THAT ALL THE INFORMATION ABOVE IS CORRECT AND IS OF YOUR HARVEST OF THE CURENT CONTEST YEAR AND THAT ALL INFORMATION SUBMITTED MATCHES THE PA GAME COMMISSION INFORMATION FOR THE HARVEST YOU SUBMITTED. ANY MISINFORMATION OR FALSE INFORMATION WILL RESULT IN FORFEITURE OF THE CURRENT CONTEST AND MAY RESULT IN DISCIPLINARY ACTION.