4th Annual Ice Fishing Derby
Saturday ~ February 6th, 2016
(Alternate date February 13th)
6:00 AM to 4:00 PM
Fish any Massachusetts pond or lake that is open to the public
Everyone is welcome
Derby Headquarters will be at the Historical Society House, 110 Main Street (2A), Westminster MA.
Registration forms available at Westminster Town Hall, Forbush Memorial Library or online at
www.westminsterhistory.com. Registrations accepted day of the derby from 6 a.m. to 11 a.m. at
Derby Headquarters.
Adult
Child
Registration Form
Check one
Name…………………………………………………….……………
Street address…………………………………………..……………..
City/Town……………………………………………………………..
Zip code…………………………………….…………………………
Phone number…………………………………………………………
Email address …………………………………………………………
Fee per person - $15.00 for ages 15 and over, $5.00 for ages 14 and under
If mailing this form, payment and registration must be received no later than Friday,
Febrary 5, 2016.
Make check payable to: Westminster Historical Society and mail to
Westminster Historical Society Fishing Derby at P.O. Box 177, Westminster, MA 01473
110 Main Street
Westminster, MA 01473
www.Westminsterhistory.com