Lower Pottsgrove Township Parks and Recreation Commission

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Lower Pottsgrove Township 

Parks and Recreation Commission 

and the Law Firm of  

Wells, Loeben, Hoffman, Holloway and Stauffer 

Invite you to attend the  



 Annual Hooked on Fishing Derby 

When:  Saturday, June 16, 2007 

Where:   Sanatoga Lake 

100 South Sanatoga Road 

Time:  7:30 a.m. to 11:00 a.m. 

Who:  Children ages 5 through 12 

Limit:  125 Children 


This free event is open to children ages 5 through 12. Participants will be able to learn a new skill such as 

angling and hopefully catch some fish along the way. The lake will be fully stocked for the event. What a way to 

enjoy a day in the great outdoors! Prizes will be awarded for numerous categories. Pre-registering is required for 

all participants. There is a maximum of 125 children for the event. The registration form below must be 

completed and returned to Lower Pottsgrove Township by Friday, June 8, 2007 in order for your child(ren)to 

be officially entered in the derby. 


Check-in begins at 7:00 a.m. the day of the event and all parents must sign in prior to fishing. 

An adult MUST be present with the child throughout the event. 


Child’s Name:  __________________________________  Age:  _____________________ 

Child’s Name:  __________________________________  Age:  _____________________ 

Child’s Name:  __________________________________  Age:  _____________________ 

Child’s Name:  __________________________________  Age:  _____________________ 

Child’s Name:  __________________________________  Age:  _____________________ 


I hereby allow my child(ren) to participate in the Lower Pottsgrove Township Fishing Derby and release Lower Pottsgrove 

Township and/or their respective heirs, assigns and employees from any liability incurred by my child(ren)’s participation in 

the Fishing Derby program. I also allow the Township to use my child(ren)’s name(s), town of residence and photographic 

likeness in any promotion or accounting of this event, and release the Township from any and all liability for the same. I 

further agree that neither I, my spouse, or child(ren) shall be entitled to receive any compensation for the Township’s use of 

such photographs or information. 


Parent Signature:  _____________________________   Date:  __________________ 


Please mail, fax or bring this form to the Lower Pottsgrove Township building. 

Lower Pottsgrove Township  *  2199 Buchert Road  *  Pottstown, PA 19464   

Phone:  610-323-0436  *  Fax:  610-323-3824 

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