Pay Every Day Derby

Registration Details
Note : After completing the on-line process, you will receive a receipt. Please retain this for your records. This will be your membership card. You can enter on-line until 7:00 am on the day you wish to fish. (Just like at the registration outlet) You can utilize the receipt/coupon as your registration card. Just show the receipt to the weigh master. They have been instructed to call the office where we can verify your registration and verify your permanent membership number. Thank you for your support and if you have any questions or concerns, please email or call.
First Name *	:
Last Name *	:
Address	:
City *	:
State *	:
Zip Code *	:
Country *	:
Phone No *	:	Please enter Client's Valid Contact No.
E-Mail Id *	:	Please enter E-Mail ID
Age	:
Agent Code	:
Gender	:	Please enter Client's Gender
Select Package *	:	Please enter Client's Gender

Post Code *	:
Terms & Condition	:	I hearby agree that the sponsors, their agents and/or employees are not responsible for injuries and/or damages suffered by me during the derby and to abide by all rules. I will read a copy of the rules. The decision of the judges is final. I further agree to take a polygraph test if requested by derby officials. I acknowledge that the results of the test are admissible as evidence in a court of law. I hearby verify that I have read and understand the rules and regulations

Registration Details