Register for Lake Lyell ANSA Convention 2024

17th May - 19th May 2024

Please complete the following form, accept the declarations and click on 'Submit'. You will then be taken to a payment page.

Please note that fields marked with an * are compulsory.

Space is included for up to 10 Anglers. (If you have more anglers, please complete the form twice. )

Particpating Club

Name Angler 1

First Name

Last Name

Select Angler Category

Select category

Name Angler 2

First Name

Last Name

Select Angler Category

Name Angler 3

First Name

Last Name

Select Angler Category

Name Angler 4

First Name

Last Name

Select Angler Category

Name Angler 5

First Name

Last Name

Select Angler Category

Name Angler 6

First Name

Last Name

Select Angler Category

Name Angler 7

First Name

Last Name

Select Angler Category

Name Angler 8

First Name

Last Name

Select Angler Category

Name Angler 9

First Name

Last Name

Select Angler Category

Name Angler 10

First Name

Last Name

Select Angler Category

An Email Address we can contact

A mobile number we can contact

I/We wish to participate in the Sea Bees Fishing Club Inc. 2024 ANSA Lake Lyell Convention and agree to participate entirely at my/our own risk. I/We agree to abide by the rules as set down and are aware that the Sea Bees Fishing Club Inc. President, Committee Members and Convention Organisers will not be responsible or liable for any loss or damage to any person, property, personal injury or death, during the Convention.

I accept this declaration

We have read the entry conditions

Yes