Casting Hope – Free Fishing Day Registration & Waiver

Casting Hope – Free Fishing Day Registration & Waiver

Register your family for the event and complete the required liability waiver. All information is confidential and used solely for event participation.
Event Information

Please confirm event details below.
Event Name*
Event Location*
Event Date*

MonthDayYear
Date
Event Time*
Parent / Legal Guardian Information

Please provide your information as the responsible adult.
Full Legal Name (as shown on ID)*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
Email Address*
example@example.com
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
California ID or Driver’s License Information

A valid California ID or Driver’s License is required to obtain a One-Day California Fishing Pass.
Type of ID*
ID Number*
Expiration Date*

MonthDayYear
Date
Upload a clear copy or photo of your California ID or Driver’s License*

Cancelof
Children Participating

List all children who will attend. If fewer than 4, leave extra lines blank or write N/A.
Total Number of Children Attending*
Child Information (add up to 4 children)
Emergency Contact Information

Please provide an emergency contact who is not attending the event.
Emergency Contact Name*

First NameLast Name
Relationship to Participant*
Emergency Contact Phone Number*
Please enter a valid phone number.
Medical Information

Please list any medical conditions, allergies, medications, mobility limitations, or health concerns for the parent or children. If none, write “NONE.”
Medical conditions, allergies, medications, or health concerns*
Liability Waiver & Release of Claims

Read the waiver carefully. Signature is required to participate.
By signing below, I confirm that I have read, understood, and agree to all terms of the liability waiver and photo/media acknowledgment above. I certify that all information provided is accurate, I am the legal parent or guardian of the listed child(ren), and I accept full responsibility for participation.*

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Casting Hope – Free Fishing Day Registration & Waiver

Event Information

Parent / Legal Guardian Information

California ID or Driver’s License Information

Children Participating

Emergency Contact Information

Medical Information

Liability Waiver & Release of Claims