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2nd Annual Kids Fishing Event Registration
Event Timing: May 4th, 2024 8am-2pm
Event Address: 4931 Nettleton Rd, Medina, OH 44256
Contact us at (330) 419-4325 or jeff@kidsfishinginohio.com
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* Indicates required question
How many youth will be attending / fishing
Your answer
Please provide first/last names of all youth participating in event.
*
Your answer
Age of Youth
5
6
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8
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10
11
12
13
14
15
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17
Youth 1 Age
Youth 2 Age
Youth 3 Age
Youth 4 Age
Youth 5 Age
5
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10
11
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17
Youth 1 Age
Youth 2 Age
Youth 3 Age
Youth 4 Age
Youth 5 Age
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Legal Guardian Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Have the youth ever been fishing?
*
Choose
Yes
No
Please list any dietary restrictions
*
Your answer
Does participating youth have any special needs to aid in fishing, our volunteers should be aware of?
*
Autism
Downs Syndrom
No
Other:
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