Fill - Free fillable HOFNOD Youth Registration And Photo Release Agreement PDF form

NewJerseyDivisionofFishandWildlife

Attn:LizJackson,HOFNODCoordinator

605PequestRoad

Oxford,NJ07863

Phone:908‐637‐4125x122

Fax:(908)637‐6735

Email:Liz.Jackson@dep.nj.gov



ThisprogramissponsoredbytheNewJerseyDivisionofFishandWildlife.

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YouthRegistrationandPhotoReleaseAgreement

TeamName:___________________________________________________________________________

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Mychild,________________________________________(printfirst&lastname),haspermissionto

participateinactivitiesrelatedtotheHOFNODProgram.Iunderstandthatthiswillincludeeventsonand

off‐site.PleasenotethatoneoftheHOFNODactivitiesisaconfidentialsurvey,whichmeansthatnoonewill

everreporthowyourchildindividuallyansweredquestions.Thesurveywillaskyourchild’sopinionabout

theirneighborhoodandnatureaswellastheirperceptionsof,andengagementwith,alcoholanddrugs.

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Parentvolunteersalwaysmaketheprogrammuchmorememorable.Ifyouwouldliketovolunteerforthe

programincludingfieldtrips,pleasewriteyourname,telephonenumberandthebesttimetoreachyou:

________________________________________________________________________________________

________________________________________________________________________________________

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Whattypesofactivitiesareyouwilling/abletohelpwith?(Pleasecheckallthatapply)

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 EducationalActivities

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 FishingSkills(Hands‐on)

 Other:__________________________________________________________________

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IgiveconsentthatallphotographsofmychildandIbeusedinlocalnewspapersandNew

JerseyDivisionofFishandWildlifepublic ations,includingprintedorelectronicinformation

aboutHookedonFishing—NotonDrugs.Inaddition,allphotographsofmychildandImay

beusedinlocal,state,andnat

ionalpublications.

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YouthName(Printed):_____________________________________________________ 

ParentName(Printed):_____________________________________________________

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ParentSignature:__________________________________Date:______/______/20____

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HOFNOD Youth Registration And Photo Release Agreement

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