Derby Registration (Online Payment)

Derby Online Payment Entry Form

Date

Use One Form for Each Derby Entered *

Odell Lake Derby | August 17th

Please select a derby. Note if you are registering for Wickiup or Odell please wait until after the Detroit derby and the registration fee will drop back down $10.

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

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