Haworth Fishing Day, Saturday May 7th, 2022 - Registration Form
Please use this form to PRE-REGISTER for the Haworth Recreation Fishing Day event. Please complete indicating all members of your family who will be attending.

Payment of $5.00 per child to be paid in CASH on the day of the event.  

If you have questions, please email us at haworthrec@gmail.com.

Thank you.

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Family Last Name (Accompanying Adult) *
Emergency Cell Number *
Address (include City & Zip) *
Child #1 (Name and Age) *
Child #2 (Name and Age)
Child #3 (Name and Age)
Child #4 (Name and Age)
An adult must sign to enter a minor child and assumes full liability for each child entered. Please teach conservation and respect for our precious natural resources.
ELECTRIC SIGNATURE (of parent or accompanying adult 18 years or over) *
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