FREE Get Fishing Event

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Child's Full Name* This field is required.
First Name
Last Name
2
Date of Birth* This field is required.
Date
Day
Month
Year
3
Age* This field is required.
4
Address* This field is required.
Street Address
Street Address Line 2
City
State
Post Code
Please Select
Please Select
Afghanistan
Albania
Algeria
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Chad
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China
Christmas Island
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Nagorno-Karabakh
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Nigeria
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Isle of Man
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Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Parent/Guardian Full Name* This field is required.
First Name
Last Name
6
Relationship to Child* This field is required.
7
Contact Phone Number* This field is required.Mobile
Please enter a valid phone number.
8
Contact Phone Number* This field is required.Home
Please enter a valid phone number.
9
Email Address* This field is required.
example@example.com
10
Alternative Emergency Contact Name* This field is required.
First Name
Last Name
11
Alternative Emergency Contact Number* This field is required.
Please enter a valid phone number.
12
Does your child have any medical conditions we should be aware of?* This field is required.e.g; allergies, asthma, diabetes, epilepsy:
YESNO
13
If yes, please provide details
14
Does your child take any regular medication?* This field is required.
YESNO
15
If yes, please provide details
16
Any known allergies?* This field is required.
YESNO
17
If yes, please provide details
18
Any other relevant medical information
19
Does your child have any Special Educational Needs (SEN) or Social and Emotional Mental Health (SEMH)?* This field is required.e.g; ASD (Autism), ADHD (Attention Deficit Hyperactive Disorder), Dyslexia etc...
20
Has your child ever fished before?* This field is required.
YESNO
21
If yes, how often?
Occasionally
Regularly
Weekly
Monthly
Yearly
22
Does your child have any fishing equipment?* This field is required.If you do please bring it with you
YESNO
23
Photography/Videography Consent:* This field is required.I consent to Tewkesbury Junior Anglers taking photographs and/or videos of my child during the taster session for promotional and educational purposes.
YESNO
24
Medical Consent: * This field is required.In the event of an emergency, I authorise Tewkesbury Junior Anglers leaders to seek appropriate medical treatment for my child.
YESNO
25
Code of Conduct Agreement:* This field is required.I have read and agree to my child adhering to the Tewkesbury Junior Anglers and Angling Trusts, Code of Conduct (available, https://anglingtrust.net/wp-content/uploads/2024/01/PD48a-AT-Code-of-Conduct-Members-Volunteers-Participants-and-Parents-v1.0-Dec-2023.pdf)
YESNO
26
Data Protection:* This field is required.I understand that the information provided on this form will be used by Tewkesbury Junior Anglers for the purpose of organising and running a taster session and will be stored securely in accordance with data protection regulations.
YESNO
27
Assumption Risk:* This field is required.I understand that fishing activities involve inherent risks and I accept these risks on behalf of my child.
YESNO
28
I, blanks * (Parent/Guardian/ Name), confirm that the information provided on this form is accurate and complete. .
29
Get Fishing Booking Time* This field is required.Please choose a time that suits you, all sessions are 1 hour. We encourage the whole family to get involved!
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