VERMONT FISH AND
WILDLIFE DEPARTMENT
103
SOUTH MAIN STREET - 10 SOUTH - WATERBURY, VERMONT 05671-0501
Application
for a Fishing Tournament/Derby Permit
(To avoid a delay in
your permit being issued and possible return of this form, please make
sure the requested
information is legible, accurate and complete!)
Name of Organization:_____________________________________________________
Contact Person (include mailing address and e-mail address):
_______________________________
_______________________________________________________________________
Day and Evening
Telephone Numbers:
Dates and Times of Tournament:____________________________________________
Town, County and Water Body Where Event Is to Be held:
__________________________
_________________________________________________
Location of
Headquarters:__________________________________________________
Location of Check
Stations:_________________________________________________
Fish Species Involved:______________________________________________________
Number of Anglers
Expected:________________________________________________
(The Fish and Wildlife
Department encourages events with catch and release features.)
PLEASE NOTE
Application must be
received 30 (thirty) days before the scheduled tournament.
Please forward
completed application form to address above and enclose a $50.00 fee; make
check payable to Vermont Fish and Wildlife Department.
Do not send cash.
Note:
There is no fee for a tournament which 1) limits the entrants to people below
15 years of age; or 2) is part of a Special Olympics Program.
If you plan to make
special use of a Department access facility, you may need specific
authorization from the Department in addition to the tournament permit.
Please contact the district office covering your tournament location
– refer to the information packet included with your application(s).
To avoid tournament
scheduling conflicts, please contact
Norm White, President of the Vermont Bass Federation (Phone: (802) 223-7793
and e-mail: nsk1@adelphia.net).