Kids' Fishing Camp Registration Form
Parent/Guardian Information
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Phone Number
Please enter a valid phone number.
Parent/Guardian Email
example@example.com
Child/Camper Information
Camper Name
First Name
Last Name
Gender
Male
Female
Date of Birth
-
Month
-
Day
Year
Date
Age
Approximate Weight
Does this camper have any medical conditions that we should be aware of?
On days where it is hot, we may take a break to allow the campers to cool off by swimming in the lake. They would be required to wear a life jacket when entering the water. Do you give this child permission to swim while at the camp?
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Signature
We may have availability for one parent chaperone to join the camp each day. You do not need to fish but are welcome to if you would like. If you would like to attend as a chaperone, please select the dates that you are available. We will contact you if we have availability for one of the dates selected.
Monday
Tuesday
Wednesday
Thursday
Friday
Camp Session - We will invoice you for a $100 deposit per session due upon receipt and the remaining balance will be due 60 days prior to the start of camp.
March 9 - 13
March 16-20
May 25 -29
June 1 - 5
June 8 - 12
June 15 - 19
June 22 - 26
July 6 - 10
July 13 - 17
July 20 - 24
July 27 - 31
August 3 - 7
Submit
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