First Name *

Last Name *

Email *

Phone *

Are there any medical conditions that Fishing Station may need to be aware of? *

If YES what are they?

Photo/Media Release *

Agree

“I grant permission for photographs and/or videos of my child taken during the fishing class to be used for promotional purposes by Fishing Station, without compensation.”

Medical Consent & Responsibility *

Agree

“I confirm that my child is physically able to participate in the fishing class and I have disclosed any relevant medical conditions. In the event of an emergency, I authorise Fishing Station staff to seek necessary medical assistance. I understand that I am responsible for any medical expenses incurred.”

General Waiver for Fishing Station's Beginner Class *

Agree

“I acknowledge that fishing involves the use of hooks, equipment, and other activities that may present certain risks. I release and discharge Fishing Station, its staff, and volunteers from any liability for injury, loss, or damage that may occur during my child’s participation in the fishing class.”

Child's Details

Child's First Name

Child's Last Name

Parent/Guardian Details

First Name

Last Name

Relationship to Child

Signature

Clear

I, the undersigned, confirm that I am the parent/legal guardian of the child named below and that I have the authority to complete this form on their behalf. I acknowledge and agree to the following: I understand and accept the terms, conditions, and responsibilities as outlined in this form/document. I confirm that the information I have provided is true and accurate to the best of my knowledge. I accept that my child participates under my responsibility, and I release the organiser/business from any liability except as required by law. I consent to my child’s participation in the activity/program/event.

Thank you

Thanks for signing our waiver - should you have any issues please contact us on info@fishingstation.com.au

Thank you

Thanks for signing our waiver - should you have any issues please contact us on info@fishingstation.com.au

Fishing Station Beginner Class Waiver

Child's Details

Parent/Guardian Details

Yoshikawa

Yoshikawa