Fishing Clinic

Sport Fish Restoration

Family Fishing Clinics

Class Registration Form

All fields below are required

Fishing Clinics Class	Please select a class.
Contact Name	Please enter a name.
Email Address	Please enter a valid email address. The email address entered is not valid (abc@example.com).
Phone Number	Please enter a phone number. The phone number entered is not valid.
Cell Number	Please enter a cell phone number. The phone number entered is not valid.
Street Address	Please enter a street address.
City	Please enter a city.
State	Please enter a state.
Zip Code	Please enter a zip code. Zip code should be 5 digits (99999).
Please list the name and age of each attendee	Please list the name and age of each attendee.
Is this your first time fishing?	Yes No

Please indicate that you agree with the Release of Liability statement by selecting this check box. South Carolina Department of Natural Resources Family Fishing Clinic Course Release of Liability - I understand that mine and my child’s or children’s participation in the Family Fishing Clinic course involves outdoor activities including the handling and use of fishing equipment, tackle, and fish. I hereby release the state of South Carolina its officers, agencies, employees and volunteers for any injury to my person or damage to my property that may occur as a result of this program. I hereby release the South Carolina Department of Natural Resources, its employees and volunteers for any injury to yourself and/or your child or children. I also understand that the site of the Family Fishing Clinic, and the South Carolina Department of Natural Resources is not responsible for any harm, accident, or injury that may occur. Please indicate that you agree with the following statement by selecting this check box. I have read and understand that South Carolina law requires any person that is 16 years of age or older fishing on a public water body to have either a recreational freshwater or saltwater fishing license dependent upon water body type.