Kid's fishing Registration Form

Registration Form

White’s Mill Kids’ Fishing Day is a free annual event for children ages 3–14. Families are invited to enjoy a fun day outdoors while children experience the excitement of fishing for trout in Toole Creek. Pre-registration is required so we can prepare supplies and provide the best experience possible for every young angler.
Parent/Guardian
Relationship to child/children
I/We herby cerify that I/we, am/are the parent(s), or legal guardian(s), of the following minor child or children.
Parent/Guardian
Relationship to child/children
I/We herby cerify that I/we, am/are the parent(s), or legal guardian(s), of the following minor child or children.
Phone Number

Area CodePhone Number
Contact E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event Requirements:
- Must be ages 3-14
- NO fishing until 8am
- No netting of fish
- You must be registered to fish
- You must have a green wristband to fish
- Limit of fish will be determined on fishing day, but at least 3
- Be courtious to other kids and take turns
  
  The most important rule is HAVE FUN!!
  
  DON'T FORGET TO BRING A POLE TO FISH WITH
Please provide each child's information below:
Child 1

First NameLast Name
Date of birth

MonthDayYear
Date
Child 2

First NameLast Name
Date of birth

MonthDayYear
Date
Child 3

First NameLast Name
Date of birth

MonthDayYear
Date
Child 4

First NameLast Name
Date of birth

MonthDayYear
Date
Child 5

First NameLast Name
Date of birth

MonthDayYear
Date
Child 6

First NameLast Name
Date of birth

MonthDayYear
Date
Child 7

First NameLast Name
Date of birth

MonthDayYear
Date
Any Question or comment about the event?
Photo Release and Consent
I give White’s Mill Foundation permission to photograph or record my child during Kids’ Fishing Day. I understand that these photographs, images, and recordings may be used without compensation in promotional and educational materials, including social media, websites, newsletters, printed materials, videos, and future event advertising. If you do not give permission for my child to be photographed or recorded. I understand that I am responsible for notifying event staff upon arrival so appropriate steps can be taken.
Signature

I/We hereby certify that I/we am/are the parent(s) or legal guardian(s) of the minor child or children listed on this registration form and agree to the photo and video consent stated above.
Should be Empty: