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    Trenton Seal

   Bring Protective Eyewear - Kids are required to wear glasses when fishing - Cheap sunglasses will do!
Girl fishing outline Waves image




City of Trenton's
Youth Fishing Derby Banner
Saturday, June 8, 2019 (9:00 a.m. - 1:30 p.m.)
Stacy Park, Trenton, New Jersey
Sponsored by: City of Trenton and
NJ Department of Environmental Protection


REGISTRATION FORM

  1. Open to youth in grades 2 - 8/Derby is free of charge
  2. Youth must be pre-registered to participate
  3. Parents/guardians are required to attend on site (children without an adult will not be able to participate)
  4. Attendance is limited and filled on first-come, first-served basis
  5. Bring: protective eyewear(glasses, goggles), hat, sunscreen, water, snacks
  6. Derby will be held rain or shine; bring rain gear and plastic bags if needed
  7. Participants can walk or drive to Stacy Park
  8. Adults cannot fish without a license

fish bullet Fill out and print this page prior to hitting "Submit" below.
fish bullet After printing, sign on the bottom lines.
fish bullet After submitting your registration, you will be emailed a confirmation number.
fish bullet Add the confirmation number from this email to the printed page, and bring the
printed page with you to the Derby.


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Name of Youth: Grade:

Name of Youth: Grade:

Name of Youth: Grade:

Will child/ren bring own fishing gear? (Yes/No) If so, how many sets?

Parent/Guardian/Chaperone to Attend:

Address: City: State: Zip:

Email Address:

Cell Phone #: Date: Initial here:

Fill out this form, PRINT this page, then press SUBMIT

If questions contact: (609) 989-3108 or debsmith@trentonnj.org

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Confirmation Number: _________________ (Sent to you by email after submitting this form.)

Print Name of Parent/Guardian/Chaperone: ________________________________________

Signature of Parent/Guardian/Chaperone: _________________________________________

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Last Updated: March 18, 2019