Please Register Here Fathers Day Dolphin Derby Registration Form Team Member Registration Boat Captain* *BOAT CAPTAIN, PLEASE CHECK-IN FOR CAPTAIN'S MEETING. MUST SIGN RULES & WAIVERS BEFORE BOAT IS OFFICIALLY REGISTERED FOR THIS TOURNAMENT.Boat / Team Name* Date* MM slash DD slash YYYY Phone*Email* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Registration and PaymentPrivate or Charter Boat* Private Boat Charter Boat Private Boat - 2 Anglers Required, Charter Boat - 4 Anglers Required, EIGHT Anglers per Boat Max, (IE 6 Anglers, Captain and Mate)Angler 1 Registration*Angler (Cash Prize) $150Everyone on the boat needs to be registered. Registration and payment is the same step. Angler 1 Name* First Last Angler 1 T-Shirt*XXXLXXLXLLargeMediumShirt SizeAngler 2 Registration*Angler (Cash Prize) $150.Angler 2 Name* First Last Angler 2 T-ShirtXXXLXXLXLLargeMediumShirt SizeAngler 3 RegistrationNo AnglerAngler (Cash Prize) $150.00Junior Angler $50Junior Angler 15 and under should register as "Angler" to qualify for Cash Prize.Angler 3 Name First Last Angler 3 T-ShirtXXXLXXLXLLargeMediumShirt SizeAngler 4 RegistrationAdd AnglerAngler (Cash Prize) $150Junior Angler $50Junior Angler 15 and under should register as "Angler" to qualify for Cash Prize.Angler 4 Name First Last Angler 4 T-ShirtXXXLXXLXLLargeMediumShirt SizeAngler 5 RegistrationAdd AnglerAngler (Cash Prize) $150Junior Angler $50Junior Angler 15 and under should register as "Angler" to qualify for Cash Prize.Angler 5 Name First Last Angler 5 T-ShirtXXXLXXLXLLargeMediumShirt SizeAngler 6 RegistrationAdd AnglerAngler (Cash Prize) $150Junior Angler $50Junior Angler 15 and under should register as "Angler" to qualify for Cash Prize.Angler 6 Name First Last Angler 6 T-ShirtXXXLXXLXLLargeMediumShirt SizeExtra T-Shirt $30NoMedLargeXLXXLExtra T-Shirt $30NoMedLargeXLXXLConcent* I confirm that I have Read and Agree to the Rules. Father’s Day Dolphin Derby Rules IGFA Rules Apply Lines in 8:00 AM Lines out 3:30 PM Braid is permitted. Fishing is allowed from North Key Largo to Key West. Bahamas waters are off limits. All fishing must be on the US side of the EEZ line. Any boats that past the EEZ line will be disqualified. Weigh Station is open from 4:00 PM to 5:30 PM at Two Conchs, 11499 Overseas Hwy Marathon Florida . In the event of a tie, it’s the fish that was weighed in at the earliest time wins. Cash & Prizes are paid/given out for the top 4 Adults only. The same boat may win more that one place, but angler can win one place. Junior Anglers that want to participate in the Cash Prize must Register as Adult with Adult Fee. Private Boats must have a minimum of 2 adult entries. Charter Boats must have minimum of 4 adults entries minimum. Boats can have up to 8 anglers. ie (6 Paying passenger plus Captain and Mate) Anglers must adhere to all Florida Laws and are subject to polygraph test in the event suspected deception has occurred. Junior anglers registered as junior anglers are only eligible for junior prizes. Junior Anglers are 15 years of age or younger. All anglers participate at their own risk and do not hold Two Conchs, Shelter Bay Marine and Aquarium Encounters liable for any actions occurred. All decisions made by the Tournament Director & Committee are final.Total $0.00 Credit CardCard Details Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.
