Sponsor a Derby | Form 1
Submit this form to request a fishing derby.  Please read all the information in the Derby Application Packet above before submitting this form.  The deadline for repeat derbies is December 15th.  
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Email *
Sponsor Information
Please read the Derby Application Packet posted above before applying. All rules must be followed to ensure future derbies will be approved. Annual or repeat derbies must be requested by December 15 to be eligible. New derbies must be requested at least 60 days in advance to be approved.
Derby Year *
Sponsoring Organization: *
Derby Date *
MM
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DD
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Contact Person *
Mailing Address *
City and Zip Code *
Phone Number *
Alternate Phone Number
If you have an AGFC customer identification number, please enter it here:
Is your organization a member of the Fishing In The Natural State Program? *
Derby Information
Is your derby for: *
Required
Body of Water *
Ownership Of Pond/Lake: *
What is the size of your pond? *
Please provide the address for you body of water including road, city, and zip. *
County: *
Expected Attendance: *
Derby Start and End Time: *
Has your organization sponsored a derby in the past? *
If yes, when was the last one?
May we post your derby on our website to invite the public? *
Additional Comments:
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Arkansas Game and Fish Commission.