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2022 Fishing Club Registration
Team Name (Not Required)
*
*
Indicates required field
Jr. Angler Name (Jr. Angler Must Have a Angler With Him At All Times)
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First
Last
What age will your child be on August 1st 2022
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Please Select One
3
4
5
6
7
8
9
10
11
12
13
Date of Birth:
Month
*
Month
January
February
March
April
May
June
July
August
September
October
November
December
Select One
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Day
1
2
3
4
5
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10
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12
13
14
15
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22
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31
Select One
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Year
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Gender
*
Please Select One
Male
Female
Shirt Size
*
SHIRT SIZE
YXS
YS
YM
YL
YXL
AS
AM
AL
AXL
OTHER
Angler Name (Must Be 21 or Older)
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First
Last
Relationship
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Mobile Number
*
Home Number
*
Email
*
Parent/Guardian Name (If Different From Angler)
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First
Last
Relationship
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Address
*
Line 1
Line 2
City
State
Zip Code
Country
Mobile Number
*
Email
*
Home Number
*
How Can You Help?
*
Have a Pond
Have a John Boat
Have a Bass Boat
Assist. Coordinator
Coordinator
Sponsor
Team Sponsor
Other
If you checked other please let us know how you can help the Bunn Youth Sports
*
Tell us your Comments/Suggestions
*
We are in need of volunteers, coaches, and/or sponsors. If you can help please check how you can help the Bunn Youth Sports.
Waiver and Signature
I authorize and give my permission for my child to participate with the Bunn Youth Sports in the sport listed for the season indicated. I have received a copy of the Code of Conduct for players, parents, and spectators and will have all aforementioned persons abide by the rules. I know that with any sport there is possibility of serious injuries, by executing this permission form, I Hereby agree to hold SFYFA, Bunn Youth Sports and its Affiliations harmless from any expense of any kind incurred by/or on behalf of my child by reason of injury received by my child while participating in this sport. I, therefore, will assume all responsibilities for any accident or injury. In the event of a medical emergency, I hereby give permission to medical personnel to provide necessary medical treatment either to myself or to the minor child listed as a participant. I agree to abide by all recreational rules govern this program. I understand that any athletic or other type of equipment issued to him/her belongs to the SFYFA and that he/she is responsible for it. When he/she stops participating in said event, I will see that he/she returns any and all equipment. I certify that all information contained on this form is true and correct to the best of my knowledge and belief.
I AGREE TO THE BYS WAIVER
*
I AGREE
Submit
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