Fishin' with a Cop Registration Form
A FREE event where kids can fish with cops on May 30, 2026,from 9AM - 12PM at Gallup Park. Free donuts, juice, coffee & SWAG. Spots are limited, and priority will be given to Ann Arbor residents. Max participants: 20 children. Children must be accompanied by an adult.
Full Name of Child
*
First Name
Last Name
Age of Participant
*
Please Select
7
8
9
10
11
12
13
14
15
Gender
*
Male
Female
Non Binary
Prefer Not to Say
Full Name of Parent/Guardian
*
First Name
Last Name
Relationship to Participant
*
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Address
*
Will you need a Fishing Pole?
*
Yes
No
Has the Participant ever fished before?
*
Yes
No
Does the participant require any special accommodations or assistance during the event?
***If you have any fishing equipment, be sure to bring it! That includes but isn’t limited to tackle (hooks and lures) and live bait (if you want to use it). You will learn how to utilize it at the event and more!
I, the undersigned, consent to my child’s photograph/video being taken during the event for promotional and social media purposes.
*
Yes
No
Parent/Guardian Signature
*
Continue
Continue
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