Kokanee Team Derby 2026 - Entry

Becoming a member of Central Valley Anglers saves you money on every derby entrance fee. If you are not currently a member, and would like to be, please visit our membership signup page and join HERE

Instructions
This form is intended to sign up your entire team for entry into the 2026 Kokanee Team Derby. You will be required to submit all names of those on your team and you will be charged for all entrants at this time. If one or more of your team members are under 16 years of age you will not be charged for that team member however, you will still need to provide their name and count them as part of your team.
Once you submit the required information the appropriate charges will be added to your cart and you will be forwarded to the shopping cart to complete your entry.

Name *

Email *

Phone

How many people will be on your team? *

Please list all team member names (16 years and Older) *

Please enter all names of your team members who are 16 years old and above separated by comma's. For entrants who are age 15 and younger, you will add their names in the next question.

Please list all team member names who are 15 years old and younger

Please enter all your team members names who are 15 years and younger separated by comma's.

Please set the quantity below for all types of entries. If for example their are no children on your team, please set the quantity to zero.

How many of your listed team members are 15 years old or younger?

Kokanee Team Derby 2026 - Entry (Child 15 and below) [$0.00]

Number of Team Members below the age of 16 quantity

How many of your team members have a CVA membership

Member - Kokanee Derby Entry - 2026 [$35.00]

Number of Team Members who have a CVA membership quantity

How many of your team members do not have a CVA membership (DO NOT INCLUDE CHILDREN in this count)

Non-member - Kokanee Derby Entry - 2026 [$55.00]

Number of Team Members who are not CVA members quantity

Lodi, CA

Ben Beal
President
209-601-2564

Joe Nye
Vice President
209-443-4353

Keith Daum
Treasurer

Linda Nye
Secretary

Big Fish Contest
Ted Handel
209-479-4172