Fill - Free fillable Whats Biting? Workshop PDF form

What’s Biting? Workshop

RegistrationForm

Aug.1‐2,2020

ThisworkshopwillstartonSaturday,August1at9:00a.m.andwrapuponSunday,August2at10:00a.m.

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Name: 

MailingAddress: 

City:   State:  Zip: 

E‐mail:  __Cell#:_Okaytotext?☐Yes☐No

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Whatpriorsaltwaterfishingexperiencedoyouhave? 

 

Noteanydietaryrestrictions: 

Ifyouarenotwillingtosleeponatopbunk,pleasemakea noteofithere. 

EmergencyInformation:

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Whoshouldwenotifyintheeventofanemergency? 

Phone#ofemergencycontact: 

Listanymedicalconditions,allergies,etc.thatweshouldbe awareoforthatmayaffectmedicaltreatment:

 

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PhotoRelease:IgiveNJDivisionofFishandWildlifepermissiontousephotographsofmyselfforpromotionaland/or

educationalpurposesinprintedmaterials,suchasbrochures,orontheNJ DivisionofFishandWildlife’swebsite,

Facebookand/orInstagramsiteswiththeunderstandingthatnopersonalinformationwillbeshared.

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

YES



NO

Waiver:

IunderstandthatallpossibleprecautionsaretakentoensurethatprogramsandactivitiesattheSedgeIslandNatural

ResourceEducationCenterareconductedbymatureandqualifiedpersonnelinasafeandresponsiblemanner.However,Ifurther

understandandagreethatSedgeIslandNaturalResourceEducationCenteranditsstaffcannotbeheldliableforanyaccident,

illness,ordiseasethatmightoccur.Ialsoagreetofollowallrulesaccordi

ngSedgeIslandpolicyandwithintheparkregulations.

IunderstandthatImayhavetoshareabunkroomwithanotherparticipantinarenovatedduckhuntinglodge thatdoes

nothaveairconditioning,andIwillnotbeshowering.Ialsounderstandthatdayswillbespentoutsiderainorshine,and

thatiscouldbehot,humid,andbug

gy.Iam18yearsofageorolder.

 

SignatureDate

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Returncompletedformandcheckintheamountof$125.00

payabletoNJOA‐EPandmailto:SedgeIsland,KarenByrne,POBox418,PortRepublic,NJ08241

DeadlineforsubmissionisJuly22,2020

Reservationsareonafirst‐come,first‐servedbasis.Thecompletedformandcheckarerequiredtoreserveyourspaceforthe

workshop.Registrationisnon‐refundable,unless2weeksnotificationofcancellationisprovided.

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   

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