Camper Information

First Name*

Last Name*

Gender*

MaleFemaleOther

Date Of Birth*

Email*

Phone Number*

Address*

Address Line 1*

Address Line 2

City*

State or Region*

Country*

Zip*

Grade Level:*

School Name:*

Parent/Guardian Full Name:*

Relationship to Camper:*

Parent's Phone Number:*

Camp Session Information

Which camp session are you registering for?*

Session 1: June 5 - June 19Session 2: July 10 - July 24Session 3: August 7 - August 21

Camp Time Preference:*

Morning (9 AM - 12 PM)Afternoon (1 PM - 4 PM)Full Day (9 AM - 4 PM)

Has your child ever participated in fishing activities before?*

YesNo

If yes, please describe your child’s fishing experience:

What are your child’s goals for attending the Fishing Camp?*

Does your child prefer group fishing or fishing independently?*

GroupIndependentBoth

Does your child have any medical conditions or allergies we should be aware of?*

YesNo

please describe the medical condition or allergy and any required precautions:

Does your child have a favorite fishing technique or skill they would like to learn or improve?

Terms and Conditions*

I give permission for my child to participate in all activities during the Fishing Camp.I give consent for my child’s photos/videos to be taken during camp activities and used for promotional purposes.I understand that my child will be supervised during all camp activities and that reasonable safety precautions will be taken.

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