On Line Trout Derby Registration

If you wish to sign up for the Blue River Trout Derby, then print this form, fill it out, and mail it along with your $25.00 derby fee.

Blue River Trout Derby

Registration Form

Neither the Johnston County Chamber of Commerce nor any individual or organization assumes responsibility for damage, injury, or other problems which arise directly or indirectly from anyone's participation or involvement, in any way, in this event.
Having read and understood these conditions, the undersigned agrees to participate in the event.

Name_______________________________________________________________________

Address______________________________________________________________________

Phone_________________________________Age______________Sex___________________

Send pre-entry registration and check or money order for $25 to:                                                     

Trout Derby Scotty's Blue River One Stop
4501 S. Bullard Chapel Rd.
Tishomingo, OK 73460