NHBA Kids Derby Registration
Welcome to the NHBA Youth Foundation Kid's Derby online registration process. We encourage you to register now to assure your child a space as each derby is limited to the first 300 kids and pre-registration will be closed on Wednesday, July 12th at 9:00 pm. Please complete the following form and click the "Submit" button when finished. The items in red indicate required fields so please make sure you complete those parts of the form. For name field, please use the name of the child who will actually be fishing in the tournament and make sure to enter their date of birth so we can place them in the proper age group. Please read the tournament rules by clicking on the link provided. You must submit a separate registration for each child. Note that the information provided below is ONLY used for registration purposes, to contact you about prizes, to inform you of upcoming derbies and to assign your child to the appropriate age group. We do not give out or sell this information to any other group or organization. If you have any questions, please send an e-mail to Charlie Taylor by clicking or Paul Fisette by clicking
* First Name:
* Last Name:
* City:
* State:
* Home Phone:
* Office Phone:
* Parent's E-Mail Address:
* Child's Birthday: (mm/dd/yyyy)
Gender: (M/F):
* Have you fished an
NHBA derby before?

** NOTE: By clicking on submit, you are indicating you have read and will comply with the tournament rules provided in the link below (will open in a separate window/tab):

this form to save your registration

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