2024 - Dennis Stoberl Memorial Kids Fishing Day Teach me to fish event hosted by Southtowns Walleye Association at Boston State Park. Parent/Guardian Name(Required) First Last Second Adult First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Child 1 Name First Last Age Group Child 11 - 5 Years old6 - 11 Years old12 - 15 Years OldChild 2 Name First Last Age Group Child 21 - 5 Years old6 - 10 Years old11 - 15 Years oldChild 3 Name First Last Age Group Child 31 - 5 Years old6 - 10 Years old11 - 15 Years oldConsent(Required)As a parent or guardian of the above named child (children), I certify that said child (children) has my permission to attend and participate in this Teach Me to Fish event held on July 27, 2024 at Boston Town Park. By signing this form, I hereby waive and release all other participants, sponsors, and all other officials or parties involved in this event, from all claims and/or damage incurred in connection with this event. I also hereby grant sponsors and co-sponsors the unconditional right to use name, voice and photographic likeness of the child (children) in connection with any audio/video productions, articles, or press releases. I agree