2018 Entry Form

23rd Annual Rockfish Derby

November 23-24, 2018

Team Name:  _____________________________________________________________

Team Cell Phone:  _________________________________________________________

Boat Name/Description/Length: _______________________________________________

Captain:  ________________________________________________________________

  • Address:  ____________________________________________________________
  • E-mail:  _____________________________________________________________

Crew Member :  ________________________________________________

Crew Member :  ________________________________________________

Crew Member :  ________________________________________________

Crew Member :  ________________________________________________

Crew Member :  ________________________________________________

 

$30.00 per person/$15.00 per youth. Make checks payable to “Greenvale Marina”.

 

Greenvale Marina

137 Fairweather Lane

Lancaster, Virginia 22503

804-462-0646

www.greenvalemarina.com