[City of Shreveport] 2024 Youth Fishing Camp Application

Age

Date of Birth

Local Phone Number

Emergency Number

Parent/Guardian Name

I, the Parent/Guardian of the registered child, give permission for my child to participate in the 2024 Youth Fishing Camp. I will not hold the City of Shreveport, Shreveport Police Department, nor any official responsible if my child is injured while engaging in this Camp. I understand the hazards and dangers involved in the Camp, will use my own insurance if needed and I have provided an accurate emergency number in the event it is necessary.

Date Picker

Parent/Guardian Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.