2021 Stan Shevik Family Fishing Clinic

Saturday, June 5, 2021
9:00-11:00 am
Lake Meyer Park and Campground

Sign-in begins at 8:30 at the Lake Meyer Campground.
Open fishing is encouraged following the clinic. Nightcrawlers will be provided for those who need it.

This form allows you to register up to four youth (15 and under) and three adults (16 and older). If you need to register more than that, submit the form again with remaining participants.

Youth under the age of 7 must be accompanied by an adult throughout the program.
This is a family fishing clinic. We encourage adults to stay during the event!
June 4-6 is Free Fishing Weekend, when all Iowa residents can fish without a license.

Please contact Winneshiek County Conservation at education@winneshiekwild.com or (563) 534-7145 for more information or with questions.
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Name and Age - Youth Registrant 1
Name and Age - Youth Registrant 2
Name and Age - Youth Registrant 3
Name and Age - Youth Registrant 4
Name - Adult Registrant 1
Name - Adult Registrant 2
Name - Adult Registrant 3
Address, City, State, and Zipcode of Primary Contact
Primary Contact Email *
Emergency Contact Phone (please list multiple if necessary) *
Any other questions, comments, or concerns?
Waiver: By clicking below and submitting this electronic form, I hereby waive and release Winneshiek County, the Winneshiek County Conservation Board and its staff and volunteers, other participants, sponsors, and all other parties involved in this event from all claims and/or damage incurred in connection with this event. I grant the event coordinators the right to use names and photographic likenesses of participants listed above in any of their public relations materials, articles, or press releases, but not as an endorsement. *
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