Kids Fishing Club – Angler Questionnaire URLThis field is for validation purposes and should be left unchanged.👤 Angler InformationAngler's Name First Last Date of Birth MM slash DD slash YYYY Preferred Name (Nickname)👨👩👧 Parent/Guardian InformationPrimary Contact Name First Last Primary Contact Email Primary Phone NumberSecondary Contact Name First Last Secondary Contact Phone🏥 Health & SafetyDoes your child have any allergies (food, insects, medication, etc.)? Yes No Please list allergies:Does your child have any medical conditions or take any medications we should be aware of? Yes No Please list conditions or medications:Does your child have any physical limitations or special needs? Yes No Please list limitations or needs:🧢 Camp PrepHas your child ever been fishing before? Yes No Has your child ever been on a boat before? Yes No What excites your child most about fishing camp? (Just a sentence or two!)Is there anything your child is nervous about?Any additional notes you'd like to share with Captain Tim and the crew?🚗 Pick-Up AuthorizationPlease list the names of all adults authorized to pick up your child:CAPTCHA
