Homeschool Fishing Program Application
Submitting this application does not guarantee enrollment. Applications are reviewed to ensure the program is a good fit for the student and group. We will contact you within 1-2 business days with next steps.
Student Name
*
First Name
Last Name
Student Age
*
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How would you describe your child's fishing experience?
*
None Yet
Beginning
Intermediate
Advanced
Boat comfort:
*
Never Been on a Boat
A Little Experience
Comfortable
Very Experienced
Is there anything we should know about your child to help them be successful in this program?
Does your child have any medical conditions, allergies, medications, or limitations we should know about?
What interests you in this program?
Are you interested in monthly, quarterly, or yearly registration?
*
Monthly
Quarterly
Yearly
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submit Application
Should be Empty: