Kids Fishing Derby Registration Form
June 6, 2026 8:00 - 11:00 AM
Parent's Name
First Name
Last Name
1st Child's Name
First Name
Last Name
1st Child's Age
1st Child - Please enter T-Shirt Size (Youth S M L or Adult S M L) *If registering after May 28th t-shirt is not guaranteed.
2nd Child's Name
First Name
Last Name
2nd Child's Age
2nd Child - Please enter T-Shirt Size (Youth S M L or Adult S M L) *If registering after May 28th t-shirt is not guaranteed.
3rd Child's Name
First Name
Last Name
3rd Child's Age
3rd Child - Please enter T-Shirt size. (Youth S M L or Adult S M L) *If registering after May 28th t-shirt is not guaranteed.
Contact Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Register
Should be Empty: