2018 Entry Form

23rd Annual Rappahannock River 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