2026 Bemidji Area Take A Kid Fishing
June 10th 2026
Official Application—One Application Per Child
www.bemidjitkf.org or check us out on Facebook: Bemidji Area Take A Kid Fishing
Drop us a line to info@bemidjiTKF.org *
Contact Info:
Child's Name:
Gender:
Age (must be 10-15):
Average # of Times Fished During a Year:
Parent's Name:
First Name
Last Name
Home Phone:
Format: (000) 000-0000.
Work/Cell Phone:
Format: (000) 000-0000.
Email:
example@example.com
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Questionnaire:
These questions are designed to help us adequately prepare to accommodate your child for a fun-filled day of fishing on the lake. Answers will
NOT
affect the child's eligibility to participate.
Does your child take any medication, or have any special needs?:
Yes
No
Please Explain:
Does your child have any other commitments on this day?:
Why does child wish to go fishing?:
Does your child have a particular guide they would like to be placed with?
Has the child:
Ever Fished Before:
Yes
No
Does the child: Own a Life Jacket:
Yes
No
Caught a Fish:
Yes
No
Own a Rain Suit:
Yes
No
Ever Fished This Event:
Yes
No
Own a Rod & Reel:
Yes
No
Release of Liability/Photo Release:
As a parent or legal guardian of
I certify that said child has permission to attend and participate in the Bemidji Area Take A Kid Fishing event, sponsored by the Take A Kid Fishing committee, to be held on June 10th 2026, starting mid-morning and concluding at 5:00pm at Lake Bemidji State Park with a fish fry. By signing this application form, I hereby waive and release; all other participants, the host, sponsors, and all other officials or parties involved in the event, from all claims and/or damage incurred in connection with this event. I also hereby grant the sponsors and cosponsors the unconditional right to use the name, voice, and photographic likeness of (child's name) , in connection with any of the articles, press releases, and audio/video productions.
Parent/Legal Guardian Signature:
Date:
-
Month
-
Day
Year
Date
Parent/Legal Guardian Printed Name:
Must be Returned by June 4th, 2026 to:
Dave Brinkmann
Bemidji Area Take A Kid Fishing
Higgins Heating
1632 Bemidji Ave. N.
Bemidji, MN 56601
Email: info@bemidjiTKF.org
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Bemidji Area Take A Kid Fishing Event
June 10th 2026
Meet guides at 10:00a.m. @ Cameron Park & 5pm Fish Fry @ Bemidji State Park
Contact:
Demo Regas—Lead Guide
Cell: (218) 407-0396
Tony Nendick—Lead Guide
Cell: (218) 766-5931
Christina Regas — TKF Committee
Cell: (218) 368-9394
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