Summer Camp Registration Form 2025
  • Fishing Camp Registration

  • Camper Information

  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Emergency Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Informed Consent and Acknowledgement

    In consideration of the risk of injury while my child participates in “fishing camp” and related activities (the “Activity”), and as consideration for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this Waiver and Release of Liability and hereby waive any and all rights, claims but or causes of action of any kind whatsoever arising out of my child’s participation in the Activity, and do hereby release and forever discharge Get Schooled, LLC located at 63 Tide Mill Terrace, Fairfield, Connecticut, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any physical or psychological injury, including but not limited to illness, paralysis, death, damages, economical or emotional loss, that my child may suffer as a direct result of my child’s participation in the aforementioned Activity, including traveling to and from an event related to this Activity.

     

  • Medical Release and Authorization

    As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

    Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

    Permission is also granted to Get Schooled and its affiliates including directors, and counselors to provide the needed emergency treatment prior to the child’s admission to the medical facility.

    Release authorized on the dates and/or duration of the registered season.

    This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

  • AUTHORIZATION TO USE PHOTOGRAPHS/PICTURES

    The undersigned authorizes Get Schooled, LLC to use my child’s photographs/pictures at Get Schooled, LLC’s fishing camp, including, without limitation, in Facebook and Instagram and other related social media platforms including Get Schooled web site and marketing materials.
  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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    Week 1 - June 23th to June 26th   Product Image
    Week 1 - June 23th to June 26th

    Camp runs Monday through Thursday. 8 - 12.  Friday is the rain make up day. 

    $450.00
      
    Week 2 - June 30th to July 3rd  Product Image
    Week 2 - June 30th to July 3rd

    Camp will run Monday though Thursday  (There is no rain make up this week.)

    $450.00
      
    Week 4 - July 14th to July 17th Product Image
    Week 4 - July 14th to July 17th

    Camp runs Monday through Thursday. 8 - 12. Friday is the rain make up day.

    $450.00
      
    Week 5 - July 21nd to July 24th Product Image
    Week 5 - July 21nd to July 24th

    Camp runs Monday through Thursday. 8-12. Friday is the rain make up day

    $450.00
      
    Subtotal
    $0.00
    Tax
    $0.00
    Total
    $0.00

    Credit Card Details
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