Fishlosophy Camp Registration Form

Fishlosophy Camp Registration Form

To register for camp, please complete the form below accurately. We will confirm registration and send email with request to finalize with payment. Any questions about registration , contact us at 202-441-2219
Camper’s Name*

First NameLast Name
Camper’s Birth Date*

MonthDayYear

Camper’s Home Phone Number*
Camper’s Mobile Number ( if bringing to camp)
Camper’s Email Address ( parents copied on all emails)
example@example.com
Desired Nickname/Name Tag
Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select Camp shirt size*

SmallMediumLargeExtra-large
Please provide any medical/dietary and any other special needs, concerns, or restrictions we should be aware of or note ‘None’*
How did you hear about Camp?*
Nextdoor

School Information
Current School
Year in School*
Family Information
Parent/Guardian's Name*

First NameLast Name
Parent/Guardian Contact Phone Number*
Parent/Guardian E-mail Address*
example@example.com
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Relationship to Camper*

Pick-Up Authorization

Names of Individuals allowed to pick up camper
Name*

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Fishing Experience & Goals

Tell us about yourself
In 300 words or less, please describe any fishing experience ( if any) and goals for learning.*

0/300

Desired Camp Dates

Please select from options or request an option. We will confirm availability and send registration fee once confirmed.
Please Select Desired Camp/Lesson*
If Single Day or Private Lesson, select preferred date and time
Please clarify any specific dates/requests

Hook Fellow Friends

Refer and Save
Refer Friends ( please provide name, email, cellphone for any friends interested and we'll give you a 25% discount on your registration if they register).
Fishing Waiver
Risk Acknowledgement Waiver Form
PLEASE READ CAREFULLY AND COMPLETELY BEFORE SIGNING
I understand and acknowledge that participation in activities offered by FISHLOSOPHY involves known and unanticipated risks, hazards, and dangers. I understand that such risks, hazards, and dangers include, but are not limited to:
1. Injuries from fishing equipment
2. Injuries from other participants
3. Water hazards associated with wading, swimming in any other bodies of
water including drowning
4. Injuries from walking and hiking in rugged outdoor environments
5. Slipping and falling or falling objects
6. Exposure to and encounters with wildlife (dangerous animals, insect bites, poisonous plants )
7. Inclement weather conditions and extreme temperatures
8. Unavailability of immediate medical attention in case of injury, such as when in remote outdoor locations down a trail
I understand that the activities offered by FISHLOSOPHY may require good physical conditioning and a degree of skill and knowledge in order for me to engage in these activities safely.
I AM VOLUNTARILY USING THE SERVICES OFFERED BY FISHLOSOPHY AND PARTICIPATING IN THE ACTIVITIES OFFERED BY FISHLOSOPHY WITH FULL KNOWLEDGE OF THE ASSOCIATED RISKS, HAZARDS, AND DANGERS, INCLUDING INJURY OR DEATH.
I hereby agree, on behalf of myself, my spouse, my children, my parents, my heirs, personal representatives and estate, to release, indemnify, and hold harmless FISHLOSOPHY, their owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as “FISHLOSOPHY”), from any and all claims, actions, causes of action, liabilities, suits, expenses which are related to, arise out of, or are in any way connected with my participation in this activity including, but not limited to, all injuries, damage, losses or liabilities of whatever nature including paralysis or death, incurred or sustained to me or my property whether such damage, loss, injury, or death results from negligence of FISHLOSOPHY or from some other cause.
I hereby further agree, on behalf of myself, my spouse, my children, my parents, my heirs, personal representatives and estate not to sue FISHLOSOPHY in connection with any and all injuries, damage, losses or liabilities of whatever nature including paralysis or death, incurred or sustained to me as a result of my participation in this activity.

ACKNOWLEDGE THAT I HAVE BEEN GIVEN THE OPPORTUNITY TO ASK QUESTIONS ABOUT THIS AGREEMENT. I HAVE READ THE RISK ACKNOWLEDGEMENT WAIVER FORM COMPLETELY, FULLY UNDERSTOOD IT, VOLUNTARILY SIGN IT, AND AGREE TO BE BOUND BY ITS TERMS.
Waiver Signature

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Waiver Signature Date

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Fishlosophy Camp Registration Form

School Information

Family Information

Emergency Contact Information

Pick-Up Authorization

Fishing Experience & Goals

Desired Camp Dates

Hook Fellow Friends

Fishing Waiver