12th Annual Pawhuska Trout
Derby
Cash & prizes for 1st, 2nd, 3rd, 4th & 5th heaviest
fish and heaviest stringer.
Numerous tagged fish with prizes valued at $50 each or
more.
Opportunity to catch tagged fish is extended through March
31st for registered derby participants only.
Saturday, February 20, 2010 - 8am - 4pm
Lake Pawhuska off Hwy 60, west of town
Entrance Fee: $25 pre-registration - $35 day of derby
Please print, complete and
mail this registration form to:
Prairie Trout Club, 1968 Old Hwy 99, Pawhuska, OK 74056, (918) 287-9966
2010 Pawhuska Trout Derby Entry Form
Make checks payable to: Prairie Trout Club
For your Free Pawhuska Trout Derby
shirt, please pre-register.
Shirt may be picked up the day of the derby.
Name:_________________________________________________________
Age:_____________ Shirt Size:_________
Address:_______________________________________________________
Email:____________________________
City:__________________________________________________________
State:_________________ Zip:_________
Fishing License Number:_________________________________________ Trout License
Number:________________
Signature:____________________________________________________________