39th Annual Derby Registration
Please find the 2023 Walleye Derby Application form below.
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.