Name:________________________________________________________________________________________________
Address:______________________________________________________________________________________________
Phone # (H)________________________________(W)_______________________________(Cell)______________________
Email address:_________________________________________Emergency contact and phone#______________________
Roommate (if applicable):________________________________________________________________________________
The registration fee includes 3 nights lodging, Sunday's
Welcome Reception and Dinner, 2 days of guided fishing,
a custom fly box with 12 professionally tied flies and more!
Registration fee (based on double occupancy): $1,449.
Single Occupancy (Add $400.) $______
EyeFlyFish Alum Discount (Subtract $50.) $______
Early Registration Discount (Subtract $100. if reg. by 3/1/21) $______
Non-fishing Spouse - Lodging and Welcome Reception only (Add $450.) $______
Fly Fishing Spouse - Includes guided trips, custom fly box and flies
(Add $800.) $______
TOTAL: $_______
Cancellation/refund policy: Prior to May 31st 75% Refund, after May 31st 50% Refund.
Please print this form and mail with a check made out to:
Charles Griffen, O.D.
270 Lancaster Ave. Ste. F-1
Malvern, PA 19355
*** As a special incentive to signing up early:
Register by March 1st and receive a signed copy of one of
Steve's books
Check which book you prefer:
_____ Fly Fishing Rocky Mountain N.P. _____ Fly Fishing Indian Peaks Wilderness
The Optometric Fly Fishers Present: EyeFlyFish 2021
July 25-28, 2021
Return to Rocky Mountain N.P.!