Hawkesbury/Nepean Bass Catch Registration

First Name....*
Last Name....*
Address....*
Phone Number.....
Mobile Number....*
Email Address.....
Best Contact....*
Are you a member of a Fishing club?.....
If yes, which Club(s)?.....
Have you fished for Bass before?.....
Where do you prefer to fish?.....
Have you participated in a Bass Catch previously?....*
If yes, which river system?....*

Are you able to attend the briefing to be held at
Northmead Bowling & Recreation Club on the
9th of February, 2010
.....