* Participant's First Name
* Participant's Last Name
* Participant's Age
* Guardian's Name
* Guardian's Telephone Number
* Guardian's E-Mail Address
* Emergency Contact Number
Have you ever fished before?
Where did you learn about this event?
 
©2010 Tim Horton’s KIDS Fishing Day / Kempenfelt Rotary Club                Website Design & Hosting by Gage Web Design