or EMAIL
Smith Point Sea Rescue

Print out this entry form for the
Reedville Fishing Derby.

This application must be complete and legible to be accepted.
Make checks payable to Smith Point Sea Rescue, Inc.

Name_______________________________________________

Street______________________City______________________

State________________________Zip_____________________

Phone_______________________________________________

Boat make________________________
 

Boat reg. No.________________________
 

Length_____________________Name____________________

Signature____________________________________________
 

Entry Fee $200.00 Entry fees are a charitable donation and are non-refundable. Upon signing this entry you agree to adhere to all rules and decisions of The Rules Committee. Send forms to Smith Point Sea Rescue, P.O. Box 662, Burgess, VA 22432

300 Boat Maximum Entries