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Fishing Day
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2023 Golf Outing Signup
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2019 Fishing Day Registration
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Indicates required field
Child's Name
*
First
Last
2nd Child's Name
*
First
Last
3rd Child's Name
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First
Last
4th Child's Name
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First
Last
Child's Age
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3
4
5
6
7
8
9
10
11
12
13
14
15
2nd Child's Age
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N/A
3
4
5
6
7
8
9
10
11
12
13
14
15
3rd Child's Age
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N/A
3
4
5
6
7
8
9
10
11
12
13
14
15
4th Child's Age
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N/A
3
4
5
6
7
8
9
10
11
12
13
14
15
Child's Gender
*
Male
Female
Child's Shirt Size
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Small
Medium
Large
X-Large
2nd Child's Gender
*
Male
Female
2nd Child's Shirt Size
*
Small
Medium
Large
X-Large
3rd Child's Gender
*
Male
Female
3rd Child's Shirt Size
*
Small
Medium
Large
X-Large
4th Child's Gender
*
Male
Female
4th Child's Shirt Size
*
Small
Medium
Large
X-Large
Street Address
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City
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State
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Zip Code
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Name of Parent or Adult Accompanying the Child
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First
Last
Relationship to the Child
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Parent
Guardian
Other
Total Number of Adult Guests
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1
2
3
4
5
6
7
8
Phone Number
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Email
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How many first time fishers are there in your group?
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0
1
2
3
4
How many first time attendees are in your group?
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0
1
2
3
4
How did you hear about this event?
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This year Dietz & Watson will be graciously providing grilled hot dogs for lunch. If you have any dietary restrictions please let us know in the box below and we will do our best to accommodate.
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Special Considerations of the Child
*
Questions/Comments
*
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