Tell Us About Your Derby Derby Information Form Please enable JavaScript in your browser to complete this form.Your Name *FirstLastEmail *PhoneName of Your Event, Derby, Contest, or Tournament *Parent Organization?Are you a Non-Profit?YesNoIf a Non-Profit, your Tax ID numberEvent Start Date / Time *DateTimeEvent End Date / Time *DateTimeEvent Website / URL For RulesUpload Your Derby Logo Here (JPEG, PNG) Click or drag a file to this area to upload. Ticket Types (check all that apply) *eTickets (on-line)Paper TicketsIf eTickets (On-line) is Selected, Ticket Fees (10% of Ticket Price) *Pass ticket fees to paying customerOrganization absorbs ticket feesTicket Categories (check all that apply) *AdultYouthFreeDiscountedEarly BirdTeamOtherQuantity of Each Ticket Category *If "Youth" is selected above, please provide age cutoffIf "Discounted" is selected above, please provide discount amountIf "Early Bird" is selected above, please provide ticket price and Dates for the ticketIf "Other" is selected above, please provide detailsIf "Team" is selected above, please provide minimum & maximun anglers per teamPrice of Tickets *Date and Time Tickets go on Sale *DateTimeDate and Time to Stop Selling Tickets *DateTimeWhat timezone is the Event, Derby in? *Location of Weigh-In Station(s) *What is the minimum and/or maximum fish weightAny Other Details We Should Know About? (side contests, required forms, etc.)Custom Captcha * = Submit
