ONLINE CHILD/YOUTH REGISTRATION

Child/Youth Full Name (Registrant)(required)

Full Mailing Address(required)

Age On 10/05/2019 (Registrant must be 6-15 yrs of age to enter)(required)

Parent/Guardian/Sponsor Full Name(required)

Parent/Guardian/Sponsor Full Mailing Address(required)

Parent/Guardian/Sponsor Phone#(required)

Parent/Guardian/Sponsor Email Address(required)

I (Registrant) have been assigned to a Captain(required) YES NO

If YES, Captain's Full Name(required)

Captain's Phone#(required)

Captain's Email Address(required)

In addition to the names registered above, how many additional family members will attend the awards ceremony and luncheon? ( For planning purposes, please enter this number only on one child; if multiple children from one Parent/Guardian/Sponsor are participating in this event, thank you)(required)

In the event of weather related tournament cancellation on October 5, please indicate below whether you will attend on the backup date set for Saturday, October 12, 2019.(required) YES NO

I, CHILD/YOUTH (Registrant) HAVE READ AND UNDERSTAND THIS EVENT'S RULES & REGULATIONS AND I AGREE TO ABIDE BY THEM.(required) YES NO

I, PARENT/GUARDIAN/SPONSOR, HAVE READ AND UNDERSTAND THIS EVENT'S RULES & REGULATIONS AND I AGREE TO ABIDE BY THEM. (required) YES NO

BY CHECKING THIS BOX, I AM ACKNOWLEDGING THAT I UNDERSTAND THAT FAILURE TO SIGN AND SUBMIT A COMPLETED REGISTRATION LIABILITY/PHOTO & NEWS RELEASE & DISCLAIMER FORM FOR EACH VENT PARTICIPANT PRIOR TO THE EVENT'S START WILL PROHIBIT THE REGISTRANT FROM PARTICIPATING. ALL FORMS ARE FOUND ONLINE AT FALLCHILDRENSFISHINGCLASSIC811089288.WORDPRESS.COM(required)

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