Registration

2018 Brainerd Warriors fishing team registration

* Indicates required field

Student Name *

First

Last

Student DOB (DD/MM/YYYY) *

Current Grade as of 3/1/2018 *

Student Jersey Size? *

Name you would like on your jersey *

What best describes the student's level of fishing experience? *

Student Cell Phone *

Student Email *

Student Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent Name *

First

Last

Parent Email *

Parent Cell Phone *

Does your family own a boat and have a family member at least 18 years of age who is willing to volunteer their time and use their boat as a boat captain? (This is not a requirement) If yes, please have them complete a boat captain registration form. *

Emergency Contact 1 *

Emergency Contact 1 Cell Phone *

Emergency Contact 2 *

Emergency Contact 2 Cell Phone *

By submitting this form, the Parents of this student angler grant the Brainerd Warrior Fishing Team the right to take photographs of me and my property. I agree that they may use such photographs, with or without my name, for any lawful purpose including publicity, advertising, and Web content.

By submitting this form, the Parents of this student angler acknowledge that the Brainerd Warrior Fishing Team is not responsible for any injuries that may occur and hereby assume any risks involved with participating in this activity.

Registration fee is $75. Please make checks payable to: Brainerd Warrior Fishing Team.
The registration meeting is on Feb 23, 2018 from 6-8 pm at the Brainerd High School cafeteria.
This meeting is mandatory for all anglers and their parents. Registration forms and payment must be
turned in at the time of this meeting. If you are not able to attend, please turn in your form and
payment to your school’s main office no later than February 22, 2018.

For questions, please contact Jason Bahr at 218-838-2131 or Natalie Peterson at 218-851-1842
or email brainerdwarriorfishing@gmail.com

Submit