SUBMIT Kids Pink Salmon Derby Photo

If you have multiple children, please fill out a new form for each child.

Name of Kid/Child Entering Derby*
First Last
Parent/Guardian Name*
First Last
Phone to Call If you Win*
E-Mail to Contact You if you win*
Address*
Age Division*
- 5 to 7
- 8 to 10
- 11 to 13
- 14 to 16
Upload Your Photo*
To be eligible for prizes, picture must contain: ONE angler, a pink salmon and a green Valdez Fish Derbies hat
Photo Description: Where was this taken? Let us know more about your day if you would like to share with Valdez Fish Derbies (Not required to win)
Consent: I give Valdez Fish Derbies the right to publish this photo and Description for promotional purposes.*
- Yes