Event Registration Form

Wiikwemkoong Winter Carnival 2026

Fishing Derby

February 22nd, 2026

Southbay Centre - 1102 SouthBay Road, Wiikwemkoong ON

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Personal Information

Full Name *

Phone Number *

Email Address (Optional, for sign-out)

Emergency Contact Name *

Emergency Contact Phone *

Dependents Names (Optional)

Additional Information

Where will you be located while fishing? *

How did you hear about this event? (Optional)

Join the private Facebook group to stay up to date and communicate with organizers before and during the derby. The best photo submissions shared in the group will be entered into a draw for a prize.

By completing this registration form, you acknowledge and agree that:

•This is a drug- and alcohol-free event.
•Organizers, hosts, and sponsors are not responsible for any lost, stolen, or damaged property, or for any personal injury or incidents that may occur during the event.
•All parents, guardians, and caregivers are responsible for the safety and well-being of the children and dependents in their care throughout the event.
•Photos and images taken during the derby that include you or your party may be used in social media posts and future promotional materials for this event and related programs.

I acknowledge and agree to the above terms *

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