Author: Rachel

St. Leo’s School Trout Derby Registration 2024
Name:_____________________________________________________________________________________________
Address:____________________________________________________________________________________________
City:_______________________________________________________________________________________________
State: ______________________ Zip:_______________________________ Phone: _______________________________
Email:________________________________________________________
______________Pre-Registration (postmarked by 4/10/2024) —–—–———————————$20.00
______________Registration (after 4/10/2024) ————–—–——--————————–———-$30.00
______________Youth Pre- Registration(15 and under) (before 4/10/2024)-————————$10.00
*youth registration only valid with registered adult
_______________Big Trout Contest ( circle 1)———-—-— Youth or Adult —-——————-$5.00
_______________50/50 Fish ——–—————————————————–—————-——$5.00
T– Shirt ————— ORDER ON ATTACHED FORM
________ CAMPING FRIDAY THRU SUNDAY ——————————$25.00
***Please consider sponsoring a fish***
Fish Sponsor: _______________________________$____________ ($20.00min per fish)
Make Checks Payable to: ST. LEO SCHOOL
Mail to: St. Leo School Trout Derby
C/O Tom and Rachel Gilmore
4050 Grant Road
Ridgway, PA 15853
I herby release St. Leo School, landowners, and all participating sponsors of the derby from any loss of property, bodily injury, or loss of life that may occur before, during, or after this derby. I have read the rules carefully.
Entrant’s
Signature: __________________________________________________________
Parent/Legal Guardian
Signature: __________________________________________________________
Feel free to make copies and pass out.

TOTAL :______________
CK #: ______________

2024 SAINT LEO SCHOOL TROUT DERBY APPAREL

ORDER DUE BY: MARCH 31, 2024

SHORT SLEEVE T– SHIRT- $20 FOR (CAMO—ADULT ONLY)—$15 FOR BLUE(YOUTH&ADULT) each ADD $2 for 2XL—4 XL
YOUTH, X Small, Small, Medium, Large ADULT— Small, Medium, Large, XLarge, 2XL, 3XL, 4XL

SIZE	COLOR OF TEE	QUANITY	TOTAL

LONG SLEEVE T– SHIRT- $18 COLUMBIA BLUE ONLY (YOUTH&ADULT) each ADD $2 for 2XL—4 XL
YOUTH X Small, Small, Medium, Large ADULT— Small, Medium, Large, XLarge, 2XL, 3XL

SIZE	COLOR OF TEE	QUANITY	TOTAL

CREWNECK SWEATSHIRT- $22 COLUMBIA BLUE ONLY (YOUTH&ADULT) each ADD $2 for 2XL—4 XL
YOUTH X Small, Small, Medium, Large ADULT— Small, Medium, Large, XLarge, 2XL, 3XL

SIZE	COLOR OF TEE	QUANITY	TOTAL

HOODIE SWEATSHIRT - $30 (CAMO—ADULT ONLY)—$25 COLUMBIA BLUE(YOUTH&ADULT) each ADD $2 for 2XL—4 XL
SIZES— YOUTH X Small, Small, Medium, Large ADULT— Small, Medium, Large, XLarge, 2XL, 3XL ,4X

SIZE	COLOR OF TEE	QUANITY	TOTAL

MAKE CHECKS PAYABLE TO : ST. LEO SCHOOL TROUT DERBY

TOTAL AMOUNT DUE:

NAME : _______________________________________________________ PHONE:________________________________
_____________________________________________________