35 Military Kids to Get “Hooked Up”
with a Free Fishing Weekend!
Open to military families and their children ages 10 -15
In order to participate in this event you must not only complete the form below but also download the Parental Consent form. After downloading it you should complete it , sign it, and then fax to 310-376-4081.
 

Parent/Guardian Information:    You may list two.
 
First Name: Last Name:
First Name: Last Name:
Address:
City: State:    
Zip Code: Contact Phone:
Email:
Parent Deployed:
 
Child Information:
Child 1
First Name:
Last Name
Sex:
Age:
Child 2      
First Name:
Last Name
Sex:
Age:
Child 3      
First Name:
Last Name
Sex:
Age:
Child 4      
First Name:
Last Name
Sex:
Age:
       
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