39th Annual Derby Registration

 

 

 

 

 

 

 

 

 

Please find the 2023 Walleye Derby Application form below.

  • You have several choices available this year for this great event.
  • You must be a current member in order to fish the Derby.
  • Joining as a member and derby together is included in the online derby application fee on this sign-up page.

Once you submit the form you will be routed to PayPal to complete your transaction. Once completed, please print out your receipt as proof of your transaction.
You will receive your Official Derby information via email after payment is complete, please print and sign this form, it is your official entry into the Derby.
For questions or issues regarding your transaction please This email address is being protected from spambots. You need JavaScript enabled to view it. and we will be happy to assist you. 

Thank you from the 2023 Walleye Derby Committee.

Please read all of the 2023 Walleye Derby Rules before filling out the application.

NOTE: If you do not wish to join the derby and sign-up for a regular club membership only, please click here


RELEASE OF LIABILITY / PHOTO RELEASE

In submitting this form, I hereby waive and release all other participants, the host, sponsors, and all other officials or parties involved in the Tournament from all claims and/or damage incurred in connection with this Derby.  I also hereby grant sponsor and co-sponsor the unconditional right to use the name, voice and photographic likeness of the child, participant or attendee in connection with any of the events audio/video productions, articles, or press releases, but not as an endorsement.


 

Previous member ID number is required for current members, if you do not have your membership number please contact us at derby@southtownswalleye.com and we will be happy to provide it to you (please allow up to 24 hours for processing). If you are currently not an existing member please enter 111111 at the time of sign up. Please note that this is a temporary number while we process your information and assign you a new official member number.

By submitting this form you agree that you have read, understand and will abide by all Derby rules as provided in the PDF document.

IMPORTANT: You MUST select the $100 required membership and derby fee first or you will not be entered into the Derby. You then select any other optional items you wish to add, such as a calcutta or walleye wallet addons.

Payment Information

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