Club Membership Registration Form

Woodford Fishing Lake Membership Registration

Complete the form below to register for 2023-2024.
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date

MonthDayYear
Membership Type

Regular MemberSenior (Members 65 or older who have paid the last 3 consecutive years)Disabled VeteranNew Member
Additional Members

Rules: Cards may be obtained for the spouse, as well as single, dependent & unmarried children ages 23 years or younger who reside at the same address as the member and are still in school/college. Children under the age of ten (10) are NOT required to have a card to fish as long as they are with a member or cardholder - please DO NOT REQUEST ONE. Children 18 years and older who are not in school/college must have their own fully paid membership. Grandchildren 15 years and younger are allowed to fish without a card and without having to pay for a day permit as long as they are with a grandparent who is a member or cardholder. Once a grandchild reaches 16 years of age, a day permit must be purchased for him/her to fish with the grandparent.
Additional Member:   First Name   Last Name
Address: Street Address    City   State   Zip
Age:   Age   Relationship:
Phone:   Area Code   Phone Number
Email:   Email
Additional Member:   First Name   Last Name
Address: Street Address    City   State   Zip
Age:   Age   Relationship:
Phone:   Area Code   Phone Number
Email:   Email
Additional Member:   First Name   Last Name
Address: Street Address    City   State   Zip
Age:   Age   Relationship:
Phone:   Area Code   Phone Number
Email:   Email
Additional Member:   First Name   Last Name
Address: Street Address    City   State   Zip
Age:   Age   Relationship:
Phone:   Area Code   Phone Number
Email:   Email
Additional Member:   First Name   Last Name
Address: Street Address    City   State   Zip
Age:   Age   Relationship:
Phone:   Area Code   Phone Number
Email:   Email
Payment
Payment can be made by check, money order, or online via ACH or credit card.

Please make checks and money orders paybale to:

Woodford Fishing Lake

PO Box 96

Versailles, KY 40383

To you pay your dues online, please visit

https://app.autobooks.co/pay/woodford-fishing-lake
Once you submit your application and payment is received, we will issue your membership cards and mail to your home address.

Thank you!
Should be Empty:

Woodford Fishing Lake Membership Registration

Additional Members

Payment