Youth 4-H Fishing Tournament and Skills Session Registration for 4-H Members

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Fill out this form for EACH individual youth participant in your household or participating organization.

Youth Participant First and Last Name *

Preferred Email Address where information will be sent: *

Phone Number: *

Mailing address where information can be sent: *

Participant's Grade Level as of Sept. 14, 2020: *

One year past high school

Youth Participant Race *

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Two or More Races

Prefer Not to Indicate

Other:

Required

Youth Participant Ethnicity *

Hispanic or Latino

Not Hispanic or Latino

Prefer Not to Indicate

Other:

Required

Do you require an accommodation to participate in this activity?

Yes

Clear selection

How did you hear about this activity? *

School

Library

Newspaper

Radio

Facebook

Friend

Other:

I understand that wearing a PFD is recommended when fishing from shore or from a dock with railings or in water that is no deeper than ankle deep. I understand that wearing a PFD is required when fishing in water that is deeper than ankle deep or from a boat or from a dock with no railings. *

Yes. I have read this and I understand it.

I need more information about this.

If you have any questions, please ask here:

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