APPLICATION: (print, fill out and mail to address below)

Name: ____________________________________________________________

Street Address: __________________________________________________
City: ___________________________ State: ______ Zip Code: ________
Area Code: _______ Phone: ________________________________________
Age: _____________________________________________________________

• Each registrant must provide their own fishing pole and tackle.
• Each registrant must be accompanied by an adult 18 years of age or older.
• Winner will be determined by the heaviest fish of any kind. All fish will be weighed, fin cropped, tabulated and returned to the river.

I agree to waive any liability on the part of the principal sponsors, all other sponsors and the City of Easton in connection with the operation of the Forks of the Delaware Shad Fishing Tournament & Festival.