Cape Cod Salties
2022 Fishing Derby Form
Name: ___________________________________Phone: _____________________Date of Catch: ____________________
2022 Division – Circle One: Male Female Junior
Category – Circle One: All Methods Catch & Release Fly Fishing Exceptional Catch
Caught From: - Circle One: Boat Surf Charter Boat
Species – Circle One: Bluefish Bonito False Albacore Fluke Cod Tuna
Black Seabass Flounder Tautog Mackerel Other Species_____________________________
Weight” _______Lb. _______Oz. ________Length__________Girth
Weigh-in Station: ______________________________________________________(marina, fish market, tackle shop)
Catch Witness: _______________________________________________________(must be 16 years or older)
NOTE: NO STRIPED BASS ENTRIES WILL BE ACCEPTED THIS YEAR.
Fill out COMPLETELY according to the Rules and return to:
Gretchen Stiers, 40 Dory Lane, Eastham, MA 02642
><>Please make as many copies as you think you’ll need this season! ><>
Cape Cod Salties
2022 Fishing Derby Form
Name: ___________________________________Phone: _____________________Date of Catch: ____________________
2022 Division – Circle One: Male Female Junior
Category – Circle One: All Methods Catch & Release Fly Fishing Exceptional Catch
Caught From: - Circle One: Boat Surf Charter Boat
Species – Circle One: Bluefish Bonito False Albacore Fluke Cod Tuna
Black Seabass Flounder Tautog Mackerel Other Species_____________________________
Weight” _______Lb. _______Oz. ________Length__________Girth
Weigh-in Station: ______________________________________________________(marina, fish market, tackle shop)
Catch Witness: _______________________________________________________(must be 16 years or older)
NOTE: NO STRIPED BASS ENTRIES WILL BE ACCEPTED THIS YEAR.
Fill out COMPLETELY according to the Rules and return to:
Gretchen Stiers, 40 Dory Lane, Eastham, MA 02642