Derby Mail-in Payment Entry Form

 

Please select a derby
Please enter the Boat Captain's Name.
Select Membership ( If you have not paid for the current year's membership then choose the Non-member and this will include the membership fees for this year) If you are registering as a Non-member please fill out the contact information as this will be used for member contact info.
Select Membership ( If you have not paid for the current year's membership then choose the Non-member and this will include the membership fees for this year) If you are registering as a Non-member please fill out the contact information as this will be used for member contact info.
Select Membership ( If you have not paid for the current year's membership then choose the Non-member and this will include the membership fees for this year) If you are registering as a Non-member please fill out the contact information as this will be used for member contact info.
Select Membership ( If you have not paid for the current year's membership then choose the Non-member and this will include the membership fees for this year) If you are registering as a Non-member please fill out the contact information as this will be used for member contact info.
Angler's Lunch is included in the entry fee
One per team.
Marine Board Rules
To prevent the spread of aquatic invasive species, inspect boats to ensure that there are no aquatic organisms on the hull, trailer, motor or other boating-related equipment or gear. As needed, participants must carefully and completely clean their boats away from the water and re-inspect before launching.
All participating non-motorized boats are required to possess a Waterway Access Permit and all out of state motorized boats require an Aquatic Invasive Species Prevention permit. These can be purchased online at www.boat.oregon.gov/store or through the ODFW app.

After your registration is submitted, you will receive an email with your registration information. Please print out and mail the registration along with your payment to:
Kokanee Power of Oregon
3306 Antigua Ln SE
Salem, OR 97317

Please enter the Total displayed above here before submitting.
For security verification, please enter any random two digit number. For example: 56