2017 Collins Lake Team Trout Derby


SIGN UP YOUR ENTIRE TEAM... ENTRIES ARE FOR TEAMS AND ANY YOUTH UNDER 16 WHO ARE PARTICIPATING IN THE YOUTH TROUT DERBY.

FULL ENTRY FEES ARE DUE AND PAYABLE AT TIME OF SUBMISSION.

TEAM NAME:(*)
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TEAM CAPTAIN NAME:(*)
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TEAM CAPTAIN ADDRESS:(*)
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TEAM CAPTAIN CITY:
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CAPTAIN STATE:(*)
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TEAM CAPTAIN ZIP:(*)
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TEAM CAPTAIN PHONE:(*)
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TEAM CAPTAIN EMAIL:(*)
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TEAM MEMBER NAMES including youths who are on the team:(*)
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Please type the name of each member of your team including the Captain's name. IF you are fishing alone, please type only your name.

YOUTH TROUT DERBY PARTICIPANT NAMES NOT ON A TEAM: (under 16) (*)
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Please type each youth fishing with you who IS NOT a member of your team. If none, please type "NONE".

 
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DERBY ENTRY FEES:(*)

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TOTAL FEES:
0.00 USD

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Show us you are a person.(*)
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This will take you to PayPal to pay for your entry fees.