Kids Pink Salmon Derby Entry Form

Laurie Prax

4 months ago

Name of Kid/Child Entering Derby(Required)

First Last

Parent/Guardian Name(Required)

First Last

Phone to Call If you Win(Required)

E-Mail to Contact You if you win(Required)

Mailing Address(Required)

Age Division(Required)

5 to 7

8 to 10

11 to 13

14 to 16

Upload Your Photo(Required)

Max. file size: 2 GB.

To be eligible for prizes, picture must contain: ONE angler, a pink salmon and a Valdez Fish Derbies hat *JPG Preferred*

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.(Required)

Yes