The California Striped Bass Association –
Stockton Chapter
Invites you to
Kid’s Fishin’ and Grinnin’ Day 08
May 2, 2009 from 9:00 a.m – 2:00 p.m.
Waterloo Gun and Bocce Club, 4343 Ashley Lane
StocktonFish for Rainbow Trout in Specially Designed Pond, Clowns, Entertainment, Face Painting, Petting Zoo, T-Shirts, Goody Bags and Lunch
Kid’s Fishin’ and Grinnin’ Day is limited to the first 60 registered participants from the ages 3 – 22 enrolled in special education programs within San Joaquin County. Students ages 16 – 22 must possess a valid California fishing license. Participants will be provided 3 lunch tickets. Extra tickets are available for purchase at the event for $3.00. To register:
Complete the enclosed registration form or call for information and registration at (209) 610-1600.

 

 

 

REGISTRATION FORM
Kid’s Fishin’ and Grinnin’ Day – May 2, 2009 – 9:00 a.m. to 2:00 p.m.
Waterloo Gun and Bocce Club – 4343 Ashley Lane, Stockton
Limited to first 60 participants
Participant’s Name: __________________________________Age: ________ Gender: M F
Address: __________________________________________________________________________
City Zip Code
Phone number: ____________________________ Alternate Phone: ____________________
T-Shirt Size: _____________________________
Total number of family members expected to attend: ____________________
Special needs, such as: diet, wheelchair, any other: ___________________________
LIABILITY RELEASE:
I agree to hold the California Striped Bass Association, Waterloo Gun and Bocce Club, Project Kokanee, Wilderness Unlimited, and any other sponsors, harmless and free from any liability of any nature whatsoever for any accident or injury to any participant arising out of or in any way connected to “Kid’s Fishin’ and Grinnin’ Day”
Signature: _______________________________________ Date: ___________________________
Parent ( ) Guardian
Mail to:
Kid’s Fishin’ and Grinnin’ Day
California Striped Bass Association
P.O. Box 7922
Stockton, CA 95267