The 25th Kiwanis Special Olympics Trout Fishing Derby Registration Form
July 11, 2020 at the Wishon Reservoir, Fresno County, California.
Please Read Rules Carefully and Good Luck
Online form – No online registration after July 9.
Let's go fishing!
Inquiries (559) 434-8099


  Participant Name: *(required)
  Participant Address: *(required)    Participant Email Address: *(required)
  City:*(required)     State *(required)     Zip *(required)
  Phone (with area code): *(required)     Cell (with area code):
 
Early Registration Fees - $25 for per Individual or each member of a group and $45 for a Family if made prior to July 1, 2020
Late Registration Fees - $35 for per Individual or each member of a group and $55 for a Family if made after to July 1, 2020
Click here to view Privacy Policy regarding required information
 
Family Members (registration is limited to 2 adults with a maximum of three (3) children under 16)
(Please Read Family Registration Rule #2)
Adult Names
Child Names
Child Name
 
 
Group Registration  (Early Registration Fees - $25 per person by July 1 or $35 per person after July 1)
Name
Name
Name
 
  Registration Fees:   Also enter this number on PayPal Form    Payment Type: PayPal Check Money Order
  Are you a first time participant:   Yes No
  I am unable to participate, but would like to make a donation of:  
  How Did You Hear About Us?:     If Other:
  If you are interested in becoming a Sponsor. Please click here!

When you press Submit, you will be taken to a page where you can select to pay via PayPal.
Enter your Registration Fee amount where you see the $0.00 on the PayPal screen.
My name and date below certify that I have read and agree to the Rules that govern the Kiwanis Special Olympics Trout Fishing Derby. Payment must be received prior to derby day. NO REFUNDS
Applicant Name Date