2022 GIPPSLAND LAKES FISHING COMPETITION REGISTRATION
Registrant Details
Fisher #1 Details
Entry Type
[Select]
Senior Male
Senior Female
Junior Male (Under 16 years)
Junior Female (Under 16 years)
First Name
Last Name
Date of Birth
Email Address
Mobile
Address
Week 1
$10
Week 2
$10
Week 3
$10
Week 4
$10
Fisher #2 Details
Entry Type
[Select]
Senior Male
Senior Female
Junior Male (Under 16 years)
Junior Female (Under 16 years)
First Name
Last Name
Date of Birth
Email Address
Mobile
Address
Week 1
$10
Week 2
$10
Week 3
$10
Week 4
$10
Add Fisher #2 Details
Fisher #3 Details
Entry Type
[Select]
Senior Male
Senior Female
Junior Male (Under 16 years)
Junior Female (Under 16 years)
First Name
Last Name
Date of Birth
Email Address
Mobile
Address
Week 1
$10
Week 2
$10
Week 3
$10
Week 4
$10
Add Fisher #3 Details
Fisher #4 Details
Entry Type
[Select]
Senior Male
Senior Female
Junior Male (Under 16 years)
Junior Female (Under 16 years)
First Name
Last Name
Date of Birth
Email Address
Mobile
Address
Week 1
$10
Week 2
$10
Week 3
$10
Week 4
$10
Add Fisher #4 Details
Fisher #5 Details
Entry Type
[Select]
Senior Male
Senior Female
Junior Male (Under 16 years)
Junior Female (Under 16 years)
First Name
Last Name
Date of Birth
Email Address
Mobile
Address
Week 1
$10
Week 2
$10
Week 3
$10
Week 4
$10
Add Fisher #5 Details
Fisher #6 Details
Entry Type
[Select]
Senior Male
Senior Female
Junior Male (Under 16 years)
Junior Female (Under 16 years)
First Name
Last Name
Date of Birth
Email Address
Mobile
Address
Week 1
$10
Week 2
$10
Week 3
$10
Week 4
$10
Add Fisher #6 Details
Terms and Conditions
PLEASE READ THE THE TERMS & CONDITIONS AND TICK THE BOX TO AGREE.
BOOKLET
Agree to T&C
Payment
Payment Method
[Select]
Direct Deposit
Total $
CLICK TO REGISTER
