TD Kids Fishing Day - June 25, 2023

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Waiver and sign-up for the Kempenfelt Rotary Clubs' 2023 Kids Fishing Day

* Indicates required question

Email *

Your email

Participant's First Name *

Your answer

Participant's Last Name *

Your answer

Participant's Age *

Your answer

Guardian's Name *

Your answer

Guardian's Telephone Number *

Your answer

Guardian's email address *

Your answer

Emergency Contact Number *

Your answer

Have you ever fished before? *

Yes

No

Where did you hear about this event?

Newpaper

Radio

Word of Mouth

Poster

Other:

Clear selection

Clear form

Never submit passwords through Google Forms.

This form was created inside of Rotary Club of Barrie Kempenfelt.