Clone of 2024 Fly Fishing Camp Registration Form

Fly Fishing Camp Registration Form

FREE. Ages 10-16. Saturday, May 2, 2026 10am-noon (seminar & fly tying demonstration) at Friendship Park Pavilion, Ligonier AND Sunday, May 3, 2026, 9am-2pm, (fishing & lunch, Valley School of Ligonier, Rector, PA ) *All equipment provided, students with their own fly rods are encouraged to use them. Be sure to dress for the weather. Priority will be given to first-time participants. Registration will automatically close when 15 fisher limit is reached. A follow-up email will be sent to all confirmed registrants with full details.
Fisher Name

First NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Will your child be bringing their fly rod?

YesNo
Is your child right or left handed?

RightLeft
T-shirt size
Parent Name

First NameLast Name
Parent Phone Number
Format: (000) 000-0000.
Parent Email
example@example.com
Parent Name #2 (optional)

First NameLast Name
Parent Phone Number #2 (optional)
Please enter a valid phone number.Format: (000) 000-0000.
Parent Email #2 (optional)
example@example.com
Please provide any additional information that you would like us to know about your child.
Photo Release: By signing below, I hereby grant permission to the Al Ludwig Memorial Fund (ALMF) to use my child's likeness in a photograph in any and all of it's publications, including but not limited to all of ALMF's printed and digital publications.
I understand that by signing this waiver, I certify that all the above information is correct and that my child (fisher listed above) is physically fit to participate in fly fishing. Also, by signing, I do hereby, for myself, executors, administrators, and person, waive release and forever discharge all rights and claims for damages which may occur or which may hereafter occur to the person against respective officers of the Al Ludwig Memorial Fund, Valley School of Ligonier, volunteers, and/or assign for any and all damages which may be attained by the fisher listed above.
Should be Empty: