2024 Discover Fishing at the Pier Program Registration
Thank you for your interest in the Discover Fishing at the Pier Program for youth aged 7-14. This program is a partnership between Discovery Center & Pier, Inland Seas Education Association, Michgan United Conservation Clubs, and the Northwest Michigan Fishing Club. Two programs will take place on June 1, 2024 at Discovery Pier (13271 SW Bay Shore Dr, Traverse City, MI). The morning session will run from 9:00 AM-11:30 AM and the afternoon session will run from 1:00 PM-3:30 PM. Please only register your youth for ONE of the sessions as the content is identical for each. Each participating youth is required bring at least one adult parent/guardian/friend/mentor with them to learn alongside their youth. Please complete the registration form below to reserve a space for participating youth. Please note that one registration form is required for EACH youth. If you have more than one youth you'd like to register, please complete a separate registration form for each of them.
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Youth Participant First Name *
Youth Participant Last Name *
Does the youth participant live in Benzie, Leelanau, Grand Traverse, Kalkaska, or Antrim County? *
Address *
City, State Zip *
Youth Participant Date of Birth *
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Youth School Attending in September 2024 *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
If applicable, please list the names of any siblings that will also be participating in this program at the same time.
Preferred Discover Fishing at the Pier Event Time  *
Are you interested in learning how you and your youth can participate in a FREE Inland Seas Education Association's Fishes of Lake Michigan program? *
Statement of Commitment from the Youth Participant: I promise to be an enthusiastic participant and will follow any instructions from volunteers related to my safety and the safety of others.  *
Required
Statement of Commitment from the Adult Chaperone: I understand that this program is provided free-of-charge for my youth. As a result, I promise to attend this program and will notify Stephanie Rustem at Discovery Center & Pier stephanie@discoverygreatlakes.org immediately should a challenge arise which would prevent my youth from participating at the selected time. I also understand that if I do not notify Discovery Center & Pier of an absence or am a "no show," it may jeopardize participation in future program offerings. *
Required
Photograph/Video Waiver: I, as parent/legal guardian, authorize that my child named above may be photographed/videotaped and waive all claims by myself or my child for remuneration in any form for the use of such photographs/video tapes for use by Discovery Center & Pier, Michigan United Conservation Clubs, Inland Seas Education Association, or the Northwest Michigan Fishing Club for educational programs, public relations, or other media use.  *
We value inclusion and access for all participants and will attempt to provide reasonable accommodations for this program. Does your youth participant require any accommodations to participate in this event? For example: The participant's left hand stays tight. The participant cannot straighten their arms.The participant/adult companion cannot move the left side of their body. The participant/adult companion uses a wheelchair. If yes, please list them below.
How did you hear about this program? *
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