First Name *

Last Name *

Email *

Phone *

I confirm my child has no medical conditions that would prevent safe participation. *

Are there any medical conditions Fishing Station must be aware of?

I understand that fishing activities may involve minor risks (e.g. cuts, slips, trips) and agree that Fishing Station is not liable for injury, loss, or damage except where required by law. *

Agree

In the event of an emergency, I authorise first aid and medical treatment. I accept responsibility for any associated costs. *

Agree

I give permission for photos/videos of my child to be used by Fishing Station for promotional purposes. *

Agree

Child's Details

Child's First Name

Child's Last Name

Child's Age

Second Child's Details (If applicable)

Child's First Name

Child's Last Name

Child's Age

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

School Holiday Fishing Workshop

Child's Details

Second Child's Details (If applicable)

Parent/Guardian Details

Length	Type	Jighead	Weedless	Pack Qty
5" - 124mm	Jerkshad	#3/0-#6/0	#4/0-#5/0	5
7" - 172mm	Jerkshad	#6/0-#8/0	#6/0-#8/0	4

Daiwa Bait Junkie Jerkshad 5" Soft Plastic Lure

Size

Features

Specifications

Features

Specifications

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