28th Annual Kids Catch A Smile Day
Email address *
When: Saturday, May 18, 2019
From: 9:00 AM to 1:00 PM
Who is eligible?
Any physically challenged child between the ages of 5 and 19. Each participant will receive a Kids Catch A Smile bag as well as other special surprises. Fishing tackle and assistance if needed will be provided and all trout caught will be cleaned, bagged and put on ice until you leave.
Please Complete 1 form per eligible child
Child's Name *
First and Last Name
Your answer
Parent/Guardian Name *
First and Last Name
Your answer
Parent/Guardian Email *
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.