NATIONAL TEEN ANGLER EVENT REGISTRATION

NEW YORK TEENS

ALLEN FANNIN'S MEMORIAL FISHING DERBY

JULY 19, 2008

MAKE SURE THAT YOU FILL IN ALL OF THE INFORMATION

** FILL OUT A SEPARATE REGISTRATION FORM FOR EACH TEEN ANGLER **

TO REGISTER FOR AN EVENT YOU MUST BE A REGISTERED TEEN ANGLER

NAME:    AGE: 

Address 

City     County

State    Zip

SCHOOL: 

PHONE:    EMAIL: 

BY REGISTERING YOU AGREE TO THE EVENT RULES AND REGULATIONS

IF YOU HAVE ANY PROBLEMS SUBMITTING THIS FORM, PLEASE EMAIL YOUR NAME, CONTACT TELEPHONE NUMBER AND EMAIL ADDRESS TO US

CLICK HERE TO SEND EMAIL