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 TicketsQuantity of Each Ticket Type *If 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) *AdultYouthFreeDiscountedTeamOtherQuantity of Each Ticket Category *If "Youth" is selected above, please provide age cutoffIf "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 Main Weigh-In Station *What is the minimum and/or maximum fish weightAny Other Details We Should Know About? (side contests, required forms, etc.)Custom Captcha * = Submit