Ticket Request – Fishing Derby 2023 Fishing Derby 2023 This event will not be attended by BBBSPY staff. It is a third-party event hosted by NEXGEN Fishing. If you are a Mentor signing up to attend with your Mentee, please be sure to communicate with your Mentee's Parent/Guardian before registering. If you are a Parent/Guardian signing up to attend with your child(ren), please complete a separate form for each child.Youth InformationPlease enter the name of the youth(Required) First Last Please enter the age of the youth(Required)If applicable, please describe any medical or physical conditions the organizers of this event should be made aware of:Mentor/Caregiver InformationPlease enter your full name(Required) First Last Please enter your phone number(Required)Please enter your email address(Required) Please select the appropriate response(Required) I am the Mentor and will be bringing my Mentee, I have confirmed this with my Mentee's Parent/Guardian. I am the Parent/Guardian and my child will be attending with me. I am the Parent/Guardian and my child will be attending with their Mentor, I have confirmed this with the Mentor. If you selected option 3, please enter the name of the Mentor who will be bringing your child. First Last Facebook Twitter Google+ LinkedIn