Derby Registration (Online Payment)

Derby Online Payment Entry Form

Date

Use One Form for Each Derby Entered - Please fill out all contact information for each team member if they are registering as a non-member. This will be used to send them their membership card and KPO sticker. *

Detroit Lake Derby | April 25th

Wickiup Lake Derby | June 13th

Odell Lake Derby | August 15th

Please select a derby

Team Name (Optional)

Captain's Name *

Please enter the Boat Captain's Name.

Angler #1 Name *

Address *

Country

City

State

Zip code

Email *

Phone *

Select Membership *

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)

Angler #2 Name

Address #2

Country

City

State

Zip code

Email #2

Phone #2

Select Membership #2

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)

Angler #3 Name

Address #3

Country

City

State

Zip code

Email #3

Phone #3

Select Membership #3

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)

Angler #4 Name

Address #4

Country

City

State

Zip code

Email #4

Phone #4

Select Membership #4

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)

Entry Fees

Total Member Anglers

A $10.00 discount has been applied for each team member for entries postmarked or submitted online 2 weeks before the date of the derby. Detroit before 4/12, Green Peter before 5/24, Odell before 8/2.

Total Non-Member Anglers

Extra Lunch|$10.00

Angler's Lunch is included in the entry fee

Bonus Entrys

One per team.

No Bonus Entry

$10.00 Blind Bogey Entry

$10.00 Biggest Kokanee Entry

$10.00 Biggest Fish Entry - Can be any species.

Online Payment