SPRING FISHING DERBY

2010 REGISTRATION ELK RIVER

NAME: _____________________________________

PHONE NUMBER:____________________________

AGE: (PRIZES GIVEN FOR OLDEST AND YOUNGEST FISHERPERSON)_______________

ENTRY FEE: $10 PER PERSON

              I WILL BE AT THE ELK RIVER LODGE TO CONFIRM THIS PRE REGISTRATION AND PAY MY ENTRY FEE BETWEEN 8 - 11 AM MAY 15

SIMPLY EMAIL THIS REGISTRATION FORM TO

tdelphous@turbonet.com

or drop off at the elk river lodge & general store

or you may register the day of the event