FWC Virtual Saltwater Fishing Clinics Registration
**PLEASE NOTE THAT THE COURSES ARE FULL AS WELL AS MOST SESSIONS AT THIS TIME. REFRESH YOUR/THIS REGISTRATION PAGE SO THAT YOU HAVE THE MOST CURRENT REGISTRATION FORM SHOWING WHICH SESSIONS ARE OPEN AT THIS TIME.**
Thank you for registering for our detailed fishing basics online, hands-on course! Once your registration has been received a separate email confirming your registration will be sent. You will receive your beginners tackle box after the first couple of sessions have been attended, this will give us time to ship it to you.
Please be sure your email address is correct as this is our way of communication with you.
* Required
Email address
*
Your email
First Name
*
Your answer
Middle Name
Your answer
Last Name
*
Your answer
Suffix
Your answer
Age
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Mailing Address - Street
*
Full address, including any apartment or suite numbers. Please make sure your mailing address is correct and can receive packages (in the case of Courses).
Your answer
Mailing Address - City
*
Your answer
Mailing Address - State
*
Your answer
Mailing Address - Zip Code
*
Your answer
(Cell) Phone Number
*
xxx-xxx-xxxx
Your answer
Gender
*
Male
Female
Prefer not to answer
Race/Ethnicity
*
Check all that apply
White
Black
Hispanic
Native American
Prefer not to answer
Other:
Required
Courses & Single Sessions
*
1 Course includes a series of 7-60 minute sessions (once a week for 7 weeks); 1 Single Session is 90 minutes (Mini Virtual Clinic)
Choose
*FULL - CLOSED* Course 1: 1/19, 1/26, 2/2, 2/9, 2/16, 2/23, 3/2
*FULL - CLOSED* Course 2: 3/9, 3/16, 3/23, 3/30, 4/6, 4/13, 4/20
*FULL - CLOSED* Course 3: 4/27, 5/4, 5/11, 5/18, 5/25, 6/1, 6/8
*FULL - CLOSED* Single Session 1: 1/28
*FULL - CLOSED* Single Session 2: 2/25
*FULL - CLOSED* Single Session 3: 3/25
*FULL - CLOSED* Single Session 4: 4/22
*FULL - COSED* Single Session 5: 5/13
Single Session 6: 6/10
Type of Device to be used for class
*
Laptop
Tablet
Cell Phone
Next
Never submit passwords through Google Forms.
This form was created inside of Science Eye.
Report Abuse
Forms